| Regimental number | 1997 |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | 75 Burfitt Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs F A Samuels, 75 Burfitt Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 10 January 1918 |
