| Regimental number | 173 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mo (stated to be mother), Mrs B. Samson, PO Golden Square, Bendigo, Victoria |
| Enlistment date | 13 October 1914 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/12/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 20 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia 23 December 1918 |
