| Regimental number | 1834 |
| Place of birth | Durham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Viarells, Southern Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, N Surtees, Westward Street, Mill Field, Sunderland, England |
| Enlistment date | 30 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Field Ambulance |
| Fate | Returned to Australia 26 January 1919 |
