| Regimental number | 21528 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emily Sams, 'Lancaster', Cross Street, Waverley, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Signallers, Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
