| Regimental number | 7703 |
| Place of birth | Beechworth, Victoria |
| Religion | Church of England |
| Occupation | Postal employee |
| Address | 'Cameci', 17 Mayfield Street, East St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E Burge, 'Cameci', 17 Mayfield Street, East St Kilda, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | Wireless Signal Troop Pack 1 |
| AWM Embarkation Roll number | 22/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A12 Saldanha on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Wireless Signal Troop |
| Recommendations (Medals and Awards) |
Meritorious Service Medal |
| Fate | Returned to Australia |