| Regimental number | 66753 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Printer |
| Address | Royal Oak Hotel, Double Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H Mortimer, Royal Oak Hotel, Double Bay, Sydney, New South Wales |
| Previous military service | 5th Battalion 1st Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
