| Regimental number | 1983 |
| Place of birth | Lancaster England |
| Religion | Protestant |
| Occupation | Sailor |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Sarah Mortimer, Willow Lane, Marsh Lancaster, England |
| Enlistment date | 25 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 26 April 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 4 May 1917 |
| Date of death | 18 March 1949 |
| Place of burial | Albany Memorial Park Cemetery |
