| Regimental number | 1957 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | West Maitland near Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Andrewena Broadbent, Wallace Street, West Maitland, New South Wales |
| Enlistment date | 22 March 1916 |
| Date of enlistment from Nominal Roll | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 1 April 1919 |
