| Regimental number | 58 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tramway employee |
| Address | Hilston, Orange Street, Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Burgess, Hillston, Orange Street, Randwick, New South Wales |
| Enlistment date | |
| Rank on enlistment | CPL. |
| Unit name | 1st Light Horse Regiment, Machine Gun Section |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A16 Star Of Victoria on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
