| Regimental number | 2867 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 135A Crowra Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs L W Mortimer, 135A Crown Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 20 June 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 5 March 1919 |