| Regimental number | 16125 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Wife, Mrs W J Sampson, Feilding |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, New Zealand Mounted Rifles, 15th Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Manuka on |
| Sources | Nominal Roll Vol. 2: Roll 35, p. 4 |