| Regimental number | 3958 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, George Douglas MacKintosh, 4 Park Place, St James, London SW, England |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Fate | No details of fate entered on Nominal Roll |
