| Regimental number | 12/3570 |
| Occupation | Teacher |
| Next of kin | Father, F J Burgess, Courthouse, Thames |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Auckland Infantry Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 37 SS Maunganui on |
| Final rank | Private |
| Final unit | 2nd Battalion, Wellington Infantry Regiment |
| Fate | Died of wounds |
| Place of burial | Bailleul Communal Cemetery Extension (Plot II, Row E, Grave No 45), France |
| Miscellaneous information from cemetery records | Parents: F.J.S.M. and Georgina Burgess, Parnell, Auckland |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 14 |