| Regimental number | 25 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Coal trimmer |
| Address | 6 Jubilee Lane, Hunter Street West, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Sophia Maria Burgess, 6 Jubilee Lane, Hunter Street West, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, A Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
