| Regimental number | 256 |
| Religion | Methodist |
| Occupation | Mail Branch, GPO |
| Address | Nathalia, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W H Broad, Fraser Street, Nathalia, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
