| Regimental number | 6454 |
| Place of birth | Gayndah Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 107 McDonald Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Mary Burgen, Luken Street, Mount Morgan, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | 4th Field Company Engineers, Reinforcement 4 |
| AWM Embarkation Roll number | 14/23/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
