| Regimental number | 254 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Artillery Barracks, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Samuel, 54 Marlborough Street, Surry Hills, New South Wales |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | 5 June 1915 |
| Rank on enlistment | Gunner |
| Unit name | Siege Artillery Brigade |
| AWM Embarkation Roll number | 13/49/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 36th AHAB |
| Fate | Returned to Australia 23 July 1919 |
