| Regimental number | 37884 |
| Occupation | Farm labourer |
| Next of kin | Father, William Sampson, Mataroa |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, E Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 18 |