| Regimental number | 9/1791 |
| Occupation | Tailor |
| Next of kin | Father, F Burgess, Kaikorai Valley, Dunedin |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Otago Mounted Rifles, D Squadron |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 10 |