| Regimental number | 18218 |
| Place of birth | Wallaroo, South Australia |
| Religion | Church of England |
| Occupation | Driver |
| Address | Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W Burgess, Torrens Street, Cowandilla, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on |
| Regimental number from Nominal Roll | 19218 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
