| Regimental number | 121 |
| Date of birth | |
| Place of birth | York, Western Australia |
| Religion | Presbyterian |
| Occupation | Surveyor's assistant |
| Address | Conroy Street, Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 49 |
| Next of kin | Father, Bernard Burgess, Conroy Street, Maylands, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sergeant |
| Unit name | 11th Battalion, A Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 11th Battalion |
| Promotions |
2nd Lieutenant Unit: 11th Battalion Promotion date: Lieutenant Unit: 11th Battalion Promotion date: Captain Unit: 11th Battalion Promotion date: |
| Fate | Discharged |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
