| Regimental number | 69363 |
| Place of birth | Bruthen Victoria |
| Religion | Church of England |
| Occupation | Ship's mate |
| Address | Lakes Entrance, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, G K Lee, Lakes Entrance, Victoria |
| Enlistment date | 29 July 1918 |
| Rank on enlistment | Private |
| Unit name | 17th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
