| Regimental number | 958 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Photographer |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Rebecker Burridge, 48 Shepparton Road, Islington, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 4 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | Administrative Headquarters |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
