| Regimental number | 4737 |
| Place of birth | Glenorchy Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, Charles MacIntosh, Rupanyup, Victoria |
| Enlistment date | 25 September 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 19 August 1919 |
