| Regimental number | 22188 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Round Mountain, via Murwillumbah, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M Worthington, Round Mountain, via Murwillumbah, New South Wales |
| Enlistment date | 7 September 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 A34 Persic on 21 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 5 April 1919 |