| Regimental number | 1639 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Baker |
| Address | Bradford, Tooronga Road, Malvern East, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ruby McIntosh, Bradford, Tooronga Road, Malvern East, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 22nd Bn |
| Date of death | |
| Place of burial | Point Clare Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
