
| Regimental number | 5354 |
| Place of birth | Carlton, Victoria |
| Other Names | Joseph Samuel |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, A Jackson, 117 Dugan Street, Kalgoorlie, Western Australia |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 29.9 |
| Place of burial | Heath Cemetery (Plot II, Row B, Grave No. 11), Harbonnieres, France |
| Panel number, Roll of Honour, Australian War Memorial | 61 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |