| Regimental number | 9530 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Farrier |
| Address | Wrightville via Cobar, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs C S Burgess, Wrightville via Cobar, New South Wales |
| Enlistment date | 1 December 1917 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, January 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 28 March 1919 |
