| Regimental number | 3473A |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Lagoon Pocket, Maryvalley Line, Gympie, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A M McIntosh, Lagoon Pocket, Maryvalley Line, Gympie, Queensland |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |