| Regimental number | 5169 |
| Place of birth | Malahar South Australia |
| Religion | Presbyterian |
| Occupation | Wheelwright |
| Address | Tucker Road, Bentleigh, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, W McIntosh, Tucker Road, Bentleigh, Victoria |
| Enlistment date | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 2 June 1919 |
| Miscellaneous details (Nominal Roll) | 14th Bn |