| Regimental number | 2786 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 112 Davis Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, R Broom, 112 Davis Street, Coburg, Victoria |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star Of Victoria on 10 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 28 March 1919 |
