| Regimental number | 717 |
| Place of birth | Crediton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 18A Dowling Street, Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Friend, Hugh Mangan, 18A Dowling Street, Redfern, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, D Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ybamt MB |
| Fate | Died of wounds |
| Age at death from cemetery records | 33 |
| Place of burial | Godewaersvelde British Cemetery (Plot I, Row O, Grave No. 37), France |
| Panel number, Roll of Honour, Australian War Memorial | 20 |
| Miscellaneous information from cemetery records | Parents: John and Mary MORTIMER |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
