
| Regimental number | 15197 |
| Place of birth | Oakleigh Victoria |
| Religion | Church of England |
| Occupation | Surveyor |
| Address | Warburton, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, F Surman, Warburton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A28 Miltiades on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A63 Karoola on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mooltan on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Kashgar on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Kashgar on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Kymettus on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A25 Anglo Egyptian on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |