| Regimental number | 2182 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Ironmongery assistant |
| Address | Sydney Road, Cooma, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, William Mortlock, Sydney Road, Cooma, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 55th Battalion |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |