| Regimental number | 13739 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Warehouseman |
| Address | Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A H Broadbent, 10 Cowles Road, Mosman, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Casualty Clearing Station |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |