| Regimental number | 31714 |
| Place of birth | Geeveston, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Geeveston, Huon, Tass |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Burgess, Geeveston, Huon, Tasmania |
| Previous military service | 93rd Infantry |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 15, Reinforcement 9 |
| AWM Embarkation Roll number | 13/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
