| Regimental number | 1969 |
| Place of birth | Costerfield, Victoria |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Costerfield, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, John Burgess, Costerfield, Victoria |
| Enlistment date | 26 April 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 15 June 1919 |
