| Regimental number | 1946 |
| Place of birth | Adelaide, South Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Glenreagh, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Burgess, Queen's Road, St Kilda, Melbourne, Victoria |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 18 January 1919 |