| Regimental number | 48903 |
| Occupation | Gardener |
| Next of kin | Father, W W Burgess, c/o Mrs Barr, Bennett Street, Papanui, Christchurch |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Rifle Brigade, Reinforcements, G Company (Second Part) |
| Embarkation details | Unit embarked from Wellington on board HMNZT 95 Willochra on |
| Sources | Nominal Roll Vol. 3: Roll 66, p. 21 |