| Regimental number | 5741 |
| Place of birth | Bradlaw New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Captain's Flat, via Bungendore, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, A Mortlock, Captain's Flat, via Bungendore, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 66 |
| Place of burial | Queanbeyan Old Cemetery, New South Wales |