| Regimental number | 59777 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Brass finisher |
| Address | Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, J W Mortiss, 148 Sutherland Street, Paddington, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on |