| Regimental number | 8350 |
| Place of birth | Burnie, Tasmania |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Wickham Street, Arncliffe, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S E Burgess, Wickham Street, Arncliffe, New South Wales |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Corporal (Saddler) |
| Unit name | Army Service Corps 20, Headquarters |
| AWM Embarkation Roll number | 25/106/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on 27 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 14th Company, Australian Army Service Corps |
| Fate | Returned to Australia 11 May 1919 |
