
| Regimental number | 12254 |
| Place of birth | Winslow, Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Glen Thompson, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, James Henry Burgess, Glen Thompson, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |