| Regimental number | 67754 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Painter |
| Address | Refreshment Rooms, Werris Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Burless, Refreshment Rooms, Werris Creek, New South Wales |
| Enlistment date | 21 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 26 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
