| Regimental number | 6763 |
| Place of birth | Streaky Bay, South Australia |
| Religion | Roman Catholic |
| Occupation | Farm labourer |
| Address | North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, A Burgess, Gover Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies - Sept 1916 to Feb 1918 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board R.M.S. Omrah on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
