| Regimental number | 682 |
| Place of birth | Parkside, South Australia |
| Religion | Church of England |
| Occupation | Saddler |
| Address | Palmerston Roiad, Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Benjamin Burgess, Palmerston Roiad, Unley, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Remount Unit 1, Squadron 3 |
| AWM Embarkation Roll number | 28/2/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A67 Orsova on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Killed in Action |
| Place of burial | Reninghelat New Military Cemetery (Plot IV, Row B, Grave No. 12), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 16 |