
| Regimental number | 3790 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Drayman |
| Address | c/o Mrs W Mclntosh, Crombie Street, Milton, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Friend, Mrs W McIntosh, Crombie Street, Milton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th DTM Brigade |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |