| Regimental number | 6409 |
| Place of birth | Skipton England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Belmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs J Broughton, Belmore Avenue, Belmore, New South Wales |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
