| Regimental number | 5045 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Factory hand |
| Address | Castlereagh Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, E Burge, Castlereigh Street, Sydney, New South Wales |
| Enlistment date | 8 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 2 June 1919 |
