| Regimental number | 2811 |
| Place of birth | Fremantle, Western Australia |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Kelmscott, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Cora Broadhurst, Kelmscott, Western Australia |
| Enlistment date | 31 March 1916 |
| Date of enlistment from Nominal Roll | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Mongolia on 17 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 17 July 1919 |
