| Regimental number | 12600 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Clergyman |
| Address | Wilmington, South Australia |
| Marital status | Married |
| Next of kin | Wife, Mrs M Broadbent, 26 Parade, Norwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | MED26.54.1SUPP |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 66 |
| Place of burial | Willaston Cemetery, Gawler, South Australia |
