| Regimental number | 211 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, R J Sansom, Barnby Mand, Newcastle, Notts, England |
| Enlistment date | 26 August 1914 |
| Rank on enlistment | Driver |
| Unit name | 3rd Field Ambulance, C Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | AIF Headquarters |
| Fate | Effective abroad (still overseas) |
