| Regimental number | 745 |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Mortimer, PO, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, F Company |
| AWM Embarkation Roll number | 23/26/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board Transport A5 Omrah on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |