| Regimental number | 3772 |
| Place of birth | Mansfield Victoria |
| Religion | Presbyterian |
| Occupation | Soldier |
| Address | Laverton, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs V D McIntosh, 182 Beaconsfield Parade, Albert Park, Victoria |
| Previous military service | AFC |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Tech SGT-MAJ |
| Unit name | Australian Flying Corps - Special Draft |
| AWM Embarkation Roll number | 8/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |