
| Regimental number | 1638 |
| Place of birth | Stawell Victoria |
| Religion | Roman Catholic |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Catherine C Surridge, Dora Dora, Albury, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
| Age at death from cemetery records | 39 |
| Place of burial | Collie Cemetery (Plot B, Grave No. 48), Collie, Western Australia |
| Panel number, Roll of Honour, Australian War Memorial | 64 |
| Miscellaneous information from cemetery records | Sister of Miss Catherine SURRIDGE |