| Regimental number | 2710 |
| Place of birth | Toowoomba Queensland |
| Religion | Roman Catholic |
| Occupation | Saddler |
| Address | George Street, Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Tryphena Samuels, George Street, Bundaberg, Queensland |
| Previous military service | 9th Infantry |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia 31 March 1919 |
