| Regimental number | 2/2556 |
| Address | 4 Clyde Quay, Wellington |
| Marital status | Single |
| Next of kin | Father, G Surrell, 4 Clyde Quay, Wellington |
| Rank on embarkation | Gunner |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Field Artillery/Eighth |