| Regimental number | 4561 |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Warra via Dalby, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J Mortimer, Warra via Dalby, Queensland |
| Enlistment date | 3 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 13 April 1919 |
