| Place of birth | Burnside, South Australia |
| Religion | Methodist |
| Occupation | Medical practitioner |
| Address | Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs D M Broadbent, 34 Gloucester Street, Prospect, South Australia |
| Enlistment date | 3 December 1917 |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Niagara on 25 April 1918 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 4 July 1919 |
