| Regimental number | 27 |
| Place of birth | Prahran Victoria |
| Religion | Roman Catholic |
| Occupation | Bank clerk |
| Address | 'Tregunna', Mont Albert Road, Balwyn, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | A R Mortensen, 'Tregunna', Mont Albert Road, Balwyn, Victoria |
| Enlistment date | 19 February 1915 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Australian Army Pay Corps, Reinforcement 1 |
| AWM Embarkation Roll number | 5/2/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 25 February 1915 |
| Rank from Nominal Roll | Staff Sergeant |
