| Regimental number | 3/3468 |
| Occupation | Civil servant |
| Next of kin | Wife, Mrs A L O'Brien, 7 Bella Vista Road, Herne Bay, Auckland |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 89 Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 19 |