| Place of birth | Darlinghurst New South Wales |
| Religion | Church of England |
| Occupation | Registered dentist |
| Address | Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs E E Broughton, 'Trebartha', Rosemount Avenue, Woollahra, New South Wales |
| Enlistment date | 15 February 1916 |
| Rank on enlistment | Lieutenant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Fate | No details of fate entered on Nominal Roll |
