| Regimental number | 57876 |
| Place of birth | Bex Hil New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | South Gundurinba, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Lee, South Gundurinba, Lismore, New South Wales |
| Previous military service | 12th Infantry |
| Enlistment date | 4 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia 23 July 1919 |