| Regimental number | 3596 |
| Place of birth | Richmond New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | 'Melrose', Rous Mill, Richmond River, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Olive J A Mortimer, 'Melrose', Rous Mill, Richmond River, New South Wales |
| Enlistment date | 14 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 24 April 1918 |
| Date of death | 9 July 1960 |
| Place of burial | Mt Thompson Crematorium |