| Regimental number | 24/65 |
| Address | Arabi Street, Edendale, Auckland |
| Marital status | Single |
| Next of kin | Father, John Lloyd Burgess, Arabi Street, Edendale, Auckland |
| Rank on embarkation | Rifleman |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 2nd Battalion, A Company |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: A Company/2nd NZRB |