| Regimental number | 6536 |
| Place of birth | Flowerdale, Victoria |
| School | Flewerdale State School, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Forest, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr H Burgess, Montumana, Tasmania |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Other details from Roll of Honour Circular | Died at Tidworth Military Hospital, England. |
| Fate | Died of disease |
| Age at death | 22 |
| Age at death from cemetery records | 21 |
| Place of burial | Tidworth Military Cemetery (Row C, Grave No. 280), North Tidworth, Wiltshire, England |
| Panel number, Roll of Honour, Australian War Memorial | 65 |
| Miscellaneous information from cemetery records | Parents: Henry and Elizabeth BURGESS, Montumana, Tasmania |