| Regimental number | 11/2197 |
| Date of birth | |
| Place of birth | Oamaru |
| Religion | Presbyterian |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 21.8 |
| Height | 5' 11" |
| Weight | 147 lbs |
| Next of kin | Mother, Mrs J Sampson, Karitahi, Dannevirke |
| Previous military service | Served in 9th Mounted Rifles Regiment, Territorial Force; still serving at time of NZEF enlistment. |
| Enlistment date | |
| Place of enlistment | Trentham |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Wellington Mounted Rifles, B Squadron |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Final rank | Driver |
| Final unit | Divisional Ammunition Column, New Zealand Field Artillery |
| Fate | Killed in Action |
| Age at death from cemetery records | 23 |
| Place of burial | Divisional Cemetery (Row L, Grave No 7), nr Ieper, Belgium |
| Miscellaneous information from cemetery records | Parents: Margaret Sansom (formerly Pollock), of Paynter's Avenue, Fitzroy, New Plymouth, and the late James Pollock |
| Other details |
War service: Egypt, Western Front Embarked Wellington, 8 January 1916; disembarked Suez, 8 February 1916. Admitted to No 4 Auxiliary Hospital, Cairo, 10 February 1916 (measles); discharged to duty, 26 February 1916; rejoined unit, Zeitoun, 2 March 1916. Transferred to NZ Field Artillery, Moascar, 8 March 1916, and posted to 8th Battery. Embarked Alexandria to join the British Expeditionary Force, France, 7 April 1916. Transferred to 2nd Divisional Ammunition Column, 13 May 1916. Transferred to 1st Brigade, 13 November 1916. Admitted to 2/2 Wessex Field Ambulance, 24 February 1917 (influenza), and transferred same day to No 1 Australian Casualty Clearing Station; to No 2 Australian General Hospital, Wimereux, 28 February 1917; to England, 10 March 1917, and admitted to No 2 NZ General Hospital, Walton-on-Thames, 11 March 1917; transferred to NZ Convalescent Hospital, Hornchurch, 4 April 1917; discharged to NZ Field Artillery Depot, Chadderton, 14 April 1917. Proceeded overseas to France, 31 May 1917; marched out to Division, 10 June 1917; posted to 13th Battery, 13 June 1917. War service: 2 years 2 days (of which 1 year 278 days was abroad) Killed in action, 12 October 1917. Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 6 Archives New Zealand (Wellington), Agency AABK, Series 18805, File 20801941 |