| Regimental number | 2912 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Lawsons Creek, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Thomas Waterworth, Northrock Road, Carlingford, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 31 October 1917 |