| Regimental number | 3012 |
| Place of birth | Ferntree Gully Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Gilberton, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Gertrude Rose Mortimer, Block Road, Gawler, South Australia |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
