| Regimental number | 6192 |
| Place of birth | Yerong Creek New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Yerong Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W A Breed, Yerong Creek, New South Wales |
| Enlistment date | 7 September 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 26 September 1917 |