| Regimental number | 15867 |
| Place of birth | Echuca, Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | Echuca, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W H Broderick, American Hotel, Echuca, Victoria |
| Previous military service | 67th Infantry |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
