| Regimental number | 1772 |
| Religion | Church of England |
| Occupation | Driver |
| Address | 73 Bridge Road, Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Surman, 7 Milton Street, Leichhardt, New South Wales |
| Enlistment date | 5 June 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 19 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 9 March 1919 |
