| Regimental number | 66565 |
| Place of birth | Swan Hill Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Duri, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, D Lee, Rose Lynn, Duri, New South Wales |
| Enlistment date | 18 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 21 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
