| Regimental number | 2936 |
| Place of birth | South Shields England |
| Religion | Church of England |
| Occupation | Electrical engineer |
| Address | 'Moravia', 5 Hawthorne Parade, Haberfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Sarah Surtees, 5 Hawthorne Parade, Haberfield, Sydney, New South Wales |
| Previous military service | 31st Infantry |
| Enlistment date | 25 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |