| Regimental number | 564 |
| Place of birth | Marrickville New South Wales |
| Religion | Church of England |
| Occupation | Painter |
| Address | 'Hannah', Frampton Avenue, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Hannah Surbey, Frampton Avenue, Marrickville, New South Wales |
| Enlistment date | 19 January 1916 |
| Date of enlistment from Nominal Roll | 14 December 1915 |
| Rank on enlistment | Lance Corporal |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 1 April 1919 |
| Date of death | 13 June 1979 |
| Place of burial | Pinegrove Memorial Park Cemetery |
