| Regimental number | 2126 |
| Place of birth | Narracoorte South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | Austral Terrace, Malvern, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Louis Samson, Austral Terrace, Malvern, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Shoeing Smith |
| Unit name | Field Artillery Brigade 3, Military District 4 |
| AWM Embarkation Roll number | 13/31/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board TRANSPORT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Artillery Brigade Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
