| Regimental number | 1503 |
| Place of birth | Molong New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Porter Street, Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S Burgess, Molong, New South Wales |
| Enlistment date | 8 April 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 6 June 1915 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 30 January 1918 |
