| Regimental number | 5077 |
| Place of birth | Crows Nest Queensland |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Warra, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, John Mortimer, Warra, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on |