| Regimental number | 2779 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Harris Strert, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J R Burgess, Harris Street, Parramatta, New South Wales |
| Enlistment date | 20 June 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 11 April 1916 |
