| Regimental number | 4093 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Goonellabah via Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth McIntosh, Goonellabah via Lismore, New South Wales |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 6 September 1919 |
| Miscellaneous details (Nominal Roll) | 4th Pioneer Bn |
