| Regimental number | 2103 |
| Religion | Roman Catholic |
| Occupation | Loco driver |
| Address | 75 Burfitt Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Father, James Samuels, 75 Burfitt Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | nonrr |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
