| Regimental number | 4186 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W G Maxworthy, Jembaicumbene, Braidwood, New South Wales |
| Enlistment date | 19 August 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Effective abroad (still overseas) |
