| Regimental number | 60486 |
| Place of birth | Lismore New South Wales |
| Religion | Methodist |
| Occupation | Dairy farmer |
| Address | Alphadale via Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G Mortimer, Alphadale via Lismore, New South Wales |
| Enlistment date | 15 May 1918 |
| Date of enlistment from Nominal Roll | 14 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 17 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 22 July 1919 |
