| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Dubbo, New South Wales |
| Marital status | Married |
| Age at embarkation | 48 |
| Next of kin | Wife, Mrs Amy Theodora Burkitt, Dubbo, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A53 Itria on |
| Rank from Nominal Roll | Major |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
| Miscellaneous details | First Name for Officer incorrectly recorded on Embarkation Roll as Edmund. |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
