| Regimental number | 3520 |
| Place of birth | Carlton, Victoria |
| Other Names | BROADFOOT |
| Religion | Church of England |
| Occupation | Painter |
| Address | North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Coombs, 309 Victoria Street, North Melbourne, Victoria |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
