| Regimental number | 2629 |
| Place of birth | Parkes New South Wales |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, James Burgess, Parkes, New South Wales |
| Previous military service | 42nd Infantry |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
