| Regimental number | 4017 |
| Place of birth | Horsham, Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Pearse Street, Cottesloe, Western Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs F M Worsley, Pearce Street, Cottesloe, Western Australia |
| Enlistment date | 3 August 1915 |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 31 March 1919 |
