| Regimental number | 14621 |
| Place of birth | Naracoorte South Australia |
| Religion | Baptist |
| Occupation | Cashier |
| Address | Kensington, South Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs D E M Samson, c/o Mrs S King, Kensington Terrace, Kensington, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A73 Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Fremantle spelt Freemantle |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
