| Occupation | Soldier |
| Address | Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Florence I Burgess, Sydney Lodge, Brisbane Street, Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 40th Battalion, A Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
