| Regimental number | 6121 |
| Place of birth | Broken Hill New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Glanville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Morcomb McIntosh, Miller Road, Glanville, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 50th Bn |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
