| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Malvern, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, T Worch, 61 Stanhope Street, Malvern, Victoria |
| Previous military service | A Army Medical Corps |
| Enlistment date | 6 May 1918 |
| Date of enlistment from Nominal Roll | 24 April 1918 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A25 Anglo-Egyptian on 12 February 1915 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
