| Regimental number | 2157 |
| Place of birth | Engelsburg Queensland |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Milora, Harrisville via Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Margaret Surawski, Milora, Harrisville via Ipswich, Queensland |
| Enlistment date | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 27 July 1917 |
