| Regimental number | 4812 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Bread carter |
| Address | Miranda, via Sutherland, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, S F Mortlock, Miranda, via Sutherland, New South Wales |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 2 June 1919 |
