| Regimental number | 19957 |
| Place of birth | Newcastle-On-Tyne, England |
| Religion | Church of England |
| Occupation | Accountant |
| Address | 'Cheshunt', Fulham Avenue, South Yarra, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs M Broomhead, 40 Dollis Road, Church End, Finchley, London North, England |
| Enlistment date | 7 February 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 31 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
