| Regimental number | 3015 |
| Place of birth | Tewantin Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Louisa Jane Burgess, c/o Mrs F A Krofft, Miva, North Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
