| Regimental number | 28655 |
| Place of birth | Pidley England |
| Religion | Congregational |
| Occupation | Commercial traveller |
| Address | 14 Francis Street, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Brother, H J Mortlock, C/o Mortlock Bros., Queen Street, Perth, Western Australia |
| Enlistment date | 26 March 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 10, Reinforcement 7 |
| AWM Embarkation Roll number | 13/37/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia No date of fate entered on Nom |