| Regimental number | 4140 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | 367 Glebe Road, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Burgess, 367 Gleberoad, Glebe, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 27 July 1917 |
| Date of death | 22 September 1948 |
| Place of burial | Kurrajong St. Stephens Cemetery |
