| Regimental number | 1043 |
| Place of birth | Willoughby New South Wales |
| Religion | Church of England |
| Occupation | Dentist |
| Address | Bma Buildings, Elizabeth Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs M G McIntosh, c/o H E McIntosh, Bma Buildings, Elizabeth Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Lance Corporal |
| Unit name | 1st Battalion, Headquarters |
| AWM Embarkation Roll number | 23/18/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A19 Afric on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
