| Regimental number | 6369 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Maylands, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E Worthington, Marlborough Street, Maylands, Western Australia |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 15 September 1918 |
| Miscellaneous details (Nominal Roll) | *Given name John |
| Date of death | 11 October 1961 |
| Place of burial | Karrakatta Cemetery |