| Regimental number | 58001 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | King Street, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs S Lee, King Street, Lismore, New South Wales |
| Enlistment date | 2 February 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 | 9th Battalion |
| Fate | Returned to Australia 23 July 1919 |