| Regimental number | 74350 |
| Place of birth | Australia |
| Occupation | Storekeeper |
| Next of kin | Brother, Ben Sampson, Pretoria, South Africa |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 16 |