
| Regimental number | 4256 |
| Place of birth | Princetown, England |
| Age on arrival in Australia | 28 |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Cuballing, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, Mr E Mortimore, Chayford, Devon, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Age at death | 34 |
| Age at death from cemetery records | 34 |
| Place of burial | Rue-Petillon Military Cemetery (Plot I, Row H, Grave No. 56), France |
| Panel number, Roll of Honour, Australian War Memorial | 172 |
| Miscellaneous information from cemetery records | Parents: Elias and Matilda MORTIMORE, Brook Cottage, South Zeal, Okehampton, Devon, England |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |