| Regimental number | 36626 |
| Place of birth | Wales England |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Mary Samuel, 23 William Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 29 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Botany Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
