| Regimental number | 2871 |
| Place of birth | Pitchford England |
| Religion | Church of England |
| Occupation | Station manager |
| Address | Groongal, South-western line, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Lucy Mortimer, Poundfield, Working, Surrey, England |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 20th Reinforcement |
| AWM Embarkation Roll number | 10/12/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Malwa on 22 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
