| Regimental number | 1574 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Warehouseman |
| Address | Victoria Street, Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H. Burgess, Victoria Street, Canterbury, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Signal Company Engineers Reinforcement 10 |
| AWM Embarkation Roll number | 22/11/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Corps Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
