| Regimental number | 1807 |
| Place of birth | Hastings England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sheringa, West Coast, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Mabel Burgess, 22A Hill Street, Hastings, Sussex, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |