| Regimental number | 443 |
| Place of birth | Kaversham Western Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Jas Mortimer, Gingin, Western Australia |
| Enlistment date | 23 September 1914 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, E Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 1 November 1918 |
