| Regimental number | 3704 |
| Place of birth | Tinamba, Victoria |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Fraser Street, Nathalia, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, W. Broad, Fraser Street, Nathalia, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 5th Division Headquarters |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, Western Front Medals: 1914-15 Star, British War Medal, Victory Medal |