| Regimental number | 6665 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 64 Scott Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Sophia Samuels, 64 Scott Street, Newcastle, New South Wales |
| Enlistment date | 12 May 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Field Ambulance, Section A |
| Embarkation details | Unit embarked from |
| From Embarkation Rolls it is not possible to distinguish the embarkation details of individual officers and men: 6 officers and 156 others embarked on HMAT A11 'Ascanius' from Melbourne on 10 November 1915; 1 officer and 50 others embarked on HMAT A58 'Kabringa' from Melbourne on 8 November 1915; 1 officer and 16 others embarked on HMAT A2 'Geelong' from Adelaide on 12 November 1915; 1 officer and 4 others embarked on HMAT A13 'Katuna' from Adelaide on 9 November 1915; and |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Siege Brigade Ammunition Column |
| Fate | Returned to Australia 27 May 1919 |
| Date of death | 11 October 1971 |
| Place of burial | Tewantin Cemetery |
