| Regimental number | 3936 |
| Place of birth | Derby England |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Mrs Elizabeth Clulow, 76 Cassells Road, Brunswick, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Robert W Worth, 25 Loudoun Street, Derby, England |
| Enlistment date | 16 July 1915 |
| Date of enlistment from Nominal Roll | 9 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 9 December 1918 |
