| Regimental number | 2109 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Groom |
| Address | Mill Street, Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Brother, David Shaw McIntosh, C/o Mrs W Welsh, Southerland, 69 Longly Road, Tooting, SW London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | Australian Corps Working Party |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
