| Regimental number | 25647 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Medical student |
| Address | Wollundry, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs B Burgess, Wollundry, Wagga Wagga, New South Wales |
| Previous military service | S U Scouts |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 11, Reinforcement 4 |
| AWM Embarkation Roll number | 13/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
