| Regimental number | 10/3203 |
| Address | Bank of New Zealand, Hawera |
| Marital status | Single |
| Next of kin | Father, G A Burgess, Bank of New Zealand, Hawera |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 8th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Medals |
Mentioned in Despatches 'Honours Despatch for Period 22nd September 1917, to 24th February 1918 (inclusive).'
Source: London Gazette Date: |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Eighth |