| Regimental number | 2835 |
| Place of birth | Glanville South Australia |
| Religion | Baptist |
| Occupation | Miller |
| Address | Ralph Street, Largs Bay, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs C E Samuels, Ralph Street, Largs Bay, South Australia |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on 21 September 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 13th Light Trench Mortar Battery |
| Fate | Effective abroad (still overseas) |