| Regimental number | 45984 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs S A Burgess, Rongotea |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 25th Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 83 Tofua on |
| Final rank | Private |
| Final unit | 2nd Battalion, Otago Infantry Regiment |
| Fate | Killed in Action |
| Age at death from cemetery records | 34 |
| Place of burial | Bancourt British Cemetery (Plot I, Row A, Grave No 12), nr Bapaume, France |
| Miscellaneous information from cemetery records | Parents: Charles and Annie Burgess, Rongates |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 62, p. 20 |