| Regimental number | 4451 |
| Place of birth | Kingscote, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mrs A Burgess, Rose Street, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Burgess, Rose Street, Prospect, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 58 |
| Place of burial | AIF Cemetery (Row 10, Grave No. 31), West Terrace, Adelaide, South Australia |