| Regimental number | 3616 |
| Place of birth | Rockhampton Queensland |
| Religion | Presbyterian |
| Occupation | Storeman |
| Address | South Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Thomas Burgess, McIlwraith Street, Townsville, Queensland |
| Enlistment date | 2 June 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 25 September 1919 |
