| Regimental number | 64223 |
| Occupation | Bank clerk |
| Next of kin | Father, Robert George Surrey, Awatuna, Taranaki |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 35th Reinforcements, Specialist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Tofua on |
| Sources | Nominal Rolls Vol. 4: Roll 80, p. 16 |