| Regimental number | 4747 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Masseur |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Mr C W Broomhall, Don Road, Devonport, Tasmania |
| Enlistment date | 14 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 5 April 1918 |
