| Regimental number | 3237 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Young Street, Parkside East, South Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs M Burgess, Young Street, Parkside East, South Australia |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on 27 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 10 July 1916 |