| Regimental number | 34457 |
| Place of birth | Omeo Victoria |
| Religion | Church of England |
| Occupation | Inspector |
| Address | 72 Gipps Street, East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs H Samson, 72 Gipps Street, East Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, March 1917 Reinforcements |
| AWM Embarkation Roll number | 13/128/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
