| Regimental number | 1382 |
| Place of birth | Glen Innes New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Walter Ernest Burgis, Clarevaulx, Glen Innes, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/12/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
