| Regimental number | 39158 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Father, Edward Burgess, Broughton Street, Gore |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Final rank | Private |
| Final unit | 3rd Battalion, Otago Infantry Regiment |
| Fate | Died of wounds |
| Place of burial | Wulverghem-Lindenhoek Road Military Cemetery (Plot V, Row B, Grave No 22), Belgium |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 14 |