| Regimental number | 1229 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | 5 Mercer Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W McIntosh, 5 Mercer Street, Geelong, Victoria |
| Previous military service | AGA |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 16 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Gunner |
| Miscellaneous details (Nominal Roll) | AIF Headquarters |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
