| Regimental number | 3/1758 |
| Occupation | Warehouseman |
| Next of kin | Brother, G S Burgess, 11 Emery Apartments, First State Street, Salt Lake City, Utah, United States America |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, No 2 Field Ambulance |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 24, p. 35 |