| Regimental number | 1164 |
| Place of birth | Nagambie Victoria |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | Busselton, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, John Joseph Mouritz, 39 Richmond Street, Leederville, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | November 1917 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board SS Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Light Railway Operating Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
