| Regimental number | 1210 |
| Place of birth | Camperdown New South Wales |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 22 Molesworth Street, North Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs J Mort, 22 Molesworth Street, North Melbourne, Victoria |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 2, Battery 6 |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 20 October 1914 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 23 May 1917 |
