| Regimental number | 6362 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Machinist |
| Address | 8 Darling Street, Glebe, Sydney , New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr C Samuelson, 7 Oaklands Grove, Shepherds Bush, London, England |
| Enlistment date | 13 March 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |
| Date of death | 3 September 1964 |
| Place of burial | Eastern Suburbs Memorial Park Cemetery |