
| Regimental number | 4286 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Henry Burt, 54 Nelson Street, Rozelle, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on |