| Regimental number | 978 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fireman |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A Mortimer, 34 Chilcot Street, Poplar E, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, A Company |
| AWM Embarkation Roll number | 23/19/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |