| Regimental number | 22229 |
| Religion | Church of England |
| Occupation | Gland packer |
| Address | Beechworth, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Uncle, J A Burgis, Stanley via Beechworth, Victoria |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Bombardier |
| Unit name | Howitzer Brigade 23, Battery 108 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 3rd Division M.T.M. Battery |
| Fate | Returned to Australia 30 April 1919 |
| Date of death | 1 June 1964 |
| Place of burial | Fawkner Cemetery |