| Regimental number | 3062 |
| Religion | Roman Catholic |
| Occupation | Tanner |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, L.Mortensen, George Street, Mascot, Sydney, New South Wales |
| Enlistment date | 7 January 1916 |
| Date of enlistment from Nominal Roll | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 17 March 1919 |
