| Regimental number | 646 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Port Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Annie Elizabeth Samson, 127 Princes Street, Port Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | Railway Unit, Section 2 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 15th Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
