| Regimental number | 21759 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Coach painter |
| Address | Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W McIntosh, 37 Cambridge Crescent, White Hills, Bendigo, Victoria |
| Previous military service | 68th Infantry |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
