| Regimental number | 4979 |
| Place of birth | Gympie Queensland |
| Religion | Methodist |
| Occupation | Soldier |
| Address | Gympie, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Minnie Surtees, Ashford Hill, Gympie, Queensland |
| Previous military service | Inst'l Staff |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Effective abroad (still overseas) |
| Date of death | |
| Place of burial | Gympie Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
