| Regimental number | 6207 |
| Religion | Roman Catholic |
| Occupation | Packer (storeman) |
| Address | McMichael Street, Islington, Maryville, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, C J De La Mothe, McMichael Street, Islington, Maryville, Newcastle, New South Wales |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 12 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 10 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 9 July 1919 |
| Miscellaneous details (Nominal Roll) | *Stated to be Charles George De-La-Mothe on NR |
