| Regimental number | 43803 |
| Place of birth | Australia |
| Occupation | Foreman of roads |
| Next of kin | Wife, Mrs Jane Ann Breen, Rossiter Avenue off Waiwetu Road, Lower Hutt |
| Rank on embarkation | Gunner |
| Unit name | New Zealand Expeditionary Force, 27th Reinforcements (First Draft), New Zealand Field Artillery |
| Embarkation details | Unit embarked from Wellington on board HMNZT 86 Maunganui on |
| Sources | Nominal Roll Vol. 3: Roll 67, p. 27 |