| Regimental number | 2301 |
| Place of birth | Kent, England |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Height | 5' 9.75" |
| Weight | 148 lbs |
| Next of kin | Mother, Mrs Lucy Burgess, Barling House, Brookland, Kent, England |
| Enlistment date | 30 September 1915 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 26 September 1917 |
