| Regimental number | 11029 |
| Place of birth | Preston England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 25 Gladstone Street, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Richard Worthington, 2 Cornwall Avenue, Blackpool, England |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 3, Reinforcement 1 |
| AWM Embarkation Roll number | 22/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 23 September 1919 |
