| Regimental number | 3652 |
| Place of birth | Accrington, Lancashire, England |
| School | Church of England School, Accrington (?), Lancashire, England |
| Age on arrival in Australia | 14 |
| Religion | Methodist |
| Occupation | Boundary rider |
| Address | 67 Hunter Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Charles David Burgess, 67 Hunter Street, Sydney, New South Wales |
| Previous military service | Nil |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 33rd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia |
| Place of death or wounding | Randwick Military Hospital, NSW |
| Age at death | 23 |
| Age at death from cemetery records | 23 |
| Place of burial | Randwick Cemetery (Grave No. 80), New South Wales |
| Panel number, Roll of Honour, Australian War Memorial | 5 |