| Regimental number | 66807 |
| Place of birth | Baradine New South Wales |
| Religion | Church of England |
| Occupation | Cleaner |
| Address | 'Melrose', Baradine, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, L Worrell, 'Melrose', Baradine, New South Wales |
| Enlistment date | 13 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
