| Regimental number | 1429 |
| Place of birth | Crookwell New South Wales |
| Religion | Church of England |
| Occupation | Selector |
| Address | Atherton, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, G Mortimer, Alstonville, Richmond River, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
