| Regimental number | 3258 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | West Kogarah, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M G Burgess, 'Cadia', Henry Street, West Kogarah, Sydney, New South Wales |
| Enlistment date | 26 February 1918 |
| Rank on enlistment | 2nd Air Mechanic |
| Unit name | Australian Flying Corps, February 1918 Reinforcement |
| AWM Embarkation Roll number | 8/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 8 Squadron, Australian Flying Corps |
| Fate | Effective abroad (still overseas) |
