| Regimental number | 6938 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Assistant traveller |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Edward Samuel Samll, Audley National Park, Sydney, New South Wales |
| Enlistment date | 9 June 1917 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 13 July 1919 |