| Regimental number | 3/223 |
| Address | 42 School Road, Anderson's Bay, Dunedin |
| Marital status | Single |
| Next of kin | D Samuel, 42 School Road, Anderson's Bay, Dunedin |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on 16 October 1914 |
| Family/military connections | Brothers: 25/685 David Adams SAMUEL; 43782 William SAMUEL |
| Miscellaneous details | Nominal Roll Vol. 1: Medical Corps/Main Body |
