| Regimental number | 241 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | Avon, Ryrie Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs L Surtees, Avon, Ryrie Street, Geelong, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, B Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Regimental number from Nominal Roll | 35 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Army Provost Corps |
| Fate | Returned to Australia 23 October 1918 |
