| Regimental number | 6867 |
| Place of birth | Yacandandah Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Surrey Hills, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Esther Elizabeth McIntosh, Croydon Road, Surrey Hills, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 22nd Bn |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
