| Regimental number | 804 |
| Place of birth | Mincha Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bald Rock, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M McGillivray, Bald Rock, Victoria |
| Enlistment date | 28 May 1917 |
| Date of enlistment from Nominal Roll | 28 May 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 15 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 10 April 1919 |
| Miscellaneous details (Nominal Roll) | 2nd Machine Gun Bn |
