| Regimental number | 578 |
| Place of birth | Trowbridge England |
| Religion | Baptist |
| Occupation | Fettler |
| Address | Trowbridge, England |
| Marital status | Widower |
| Age at embarkation | 45 |
| Next of kin | Father, Scrim Mortimer, Trowbridge, England |
| Enlistment date | 22 March 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, C Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on 29 June 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 on 12 July 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | No 2 Command Depot |
| Fate | Discharged 3 November 1919 |
