| Regimental number | 2189 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bredbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Mortlock, Bredbo, New South Wales |
| Enlistment date | 16 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 21 December 1918 |
