| Regimental number | 21895 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 110 Avenue Road, Mosman, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs L. Worth, 7 Barkly Street, Brunswick, Melbourne, Victoria |
| Enlistment date | 21 July 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | a GRAVES REGIS |
| Fate | Effective abroad (still overseas) |