| Regimental number | 5/900 |
| Occupation | Farm labourer |
| Next of kin | Mother, Mrs Jemima Surtees, Silverstream, Wellington |
| Rank on embarkation | Driver |
| Unit name | New Zealand Expeditionary Force, 11th Reinforcements, Army Service Corps |
| Embarkation details | Unit embarked from Wellington on 1 April 1916 |
| Members of the Army Service Corps, 11th Reinforcements, left New Zealand on board two ships, HMNZT 49 'Maunganui' and HMNZT 50 'Tahiti'. It is not possible from the Nominal Roll to determine on which ship an individual embarked. |
| Sources | Nominal Roll Vol. 2: Roll 28, p. 24 |
