| Regimental number | 3121 |
| Place of birth | Horsham, England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Fanny Burstow, 7 Gladstone Road, Horsham, Sussex, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
