| Regimental number | 7700 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E. Burgess, Albury Road, Wagga Wagga, New South Wales |
| Enlistment date | 6 June 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 31 May 1919 |
