| Regimental number | 66889 |
| Place of birth | Cooma New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 21 Denning Street, Drummoyne, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E H Burgess, 21 Denning Street, Drummoyne, Sydney, New South Wales |
| Enlistment date | 25 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
