| Regimental number | 19621 |
| Place of birth | New York USA |
| Religion | Presbyterian |
| Occupation | Engineer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, B Broadbent, 146 Elbey Street, Waverley, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, October 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Canberra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Ballina East Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
