| Regimental number | 3935 |
| Place of birth | Forbes New South Wales |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Woolahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Susan Worner, 54 Moncur Street, Woolahra, New South Wales |
| Enlistment date | 12 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |