| Regimental number | 1040 |
| Place of birth | Riverstone New South Wales |
| Religion | Church of England |
| Occupation | Boundary rider |
| Address | c/o Forrester PO, via Windsor, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Lily Lee, Armidale, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/12/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A66 Uganda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AATD |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
