| Regimental number | 2863 |
| Place of birth | Ascot Vale Victoria |
| Religion | Roman Catholic |
| Occupation | Steward |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, A Mortimer, Epsom Race Course, Mordialloc, Victoria |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star of Victoria on 10 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |