| Regimental number | 1071 |
| Place of birth | Hilton, South Australia |
| Religion | Church of England |
| Occupation | Colt breaker |
| Address | Hilton, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A R Burgess, Torrens Street, Torrensville, South Australia |
| Enlistment date | 16 June 1916 |
| Rank on enlistment | Private |
| Unit name | Veterinary Corps - March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 6th Mobile Veterinary Section |
| Fate | Returned to Australia 15 May 1919 |
| Other details | Medals: British War Medal, Victory Medal |