| Regimental number | 7694 |
| Place of birth | Kiandra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R. Broadhead, Thompson Street, Cootamundra, New South Wales |
| Enlistment date | 23 July 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 31 March 1919 |