| Regimental number | 3784 |
| Place of birth | Norwich England |
| Religion | Church of England |
| Occupation | Fettler |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Laura Burcham, 57 Duke Street, Norwich, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | aps HDQRS |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
