| Regimental number | 57994 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Warra, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Mortimer, Warra, Queensland |
| Enlistment date | 25 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 22 July 1919 |
