| Regimental number | 10/2877 |
| Occupation | Warehouse manager |
| Next of kin | Wife, Mrs S F Burgess, Stanhope Street, Malvern, Melbourne, Victoria, Australia |
| Rank on embarkation | 2nd Lieutenant |
| Unit name | New Zealand Expeditionary Force, 37th Reinforcements, C Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 103 Maunganui on |
| Other details | Ex 7th Reinforcements |
| Sources | Nominal Rolls Vol. 4: Roll 82, p. 12 |