| Regimental number | 5834 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 15 Bartlett Street, Summer Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Ellen Eastern Mortimer, 15 Bartlett Street, Summer Hill, New South Wales |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 15 January 1919 |
