| Regimental number | 15796 |
| Place of birth | Brunswick, Victoria |
| Religion | Church of England |
| Occupation | Plumber anbd gasfitter |
| Address | Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Eva May Broadbent, 93 Greville Street, Prahran, Victoria |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia 16 January 1919 |