| Regimental number | 40279 |
| Place of birth | Australia |
| Occupation | Labourer |
| Next of kin | Brother, A Broadhead, Queen's Hotel, Thames |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 80 Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 35 |