| Regimental number | 6475 |
| Place of birth | Drummoyne New South Wales |
| Religion | Roman Catholic |
| Occupation | Boxmaker |
| Address | 46 Formosa Street, Drummoyne, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, T Burnheim, 46 Formosa Street, Drummoyne, New South Wales |
| Previous military service | 31st Infantry |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 15 April 1918 |
