| Regimental number | 3144 |
| Place of birth | Cardigan Victoria |
| Religion | Presbyterian |
| Occupation | School teacher |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Alice M G Surman, 706 Mair Street, Ballarat, Victoria |
| Enlistment date | 18 March 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/56/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Acting Sergeant |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 1 February 1918 |
