| Regimental number | 68770 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Electrician |
| Address | 20 Wendouree Parade, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, F Burge, 20 Wendouree Parade, Ballarat, Victoria |
| Previous military service | 2nd Battalion 39th Infantry |
| Enlistment date | 10 July 1918 |
| Rank on enlistment | Private |
| Unit name | 15th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
