| Regimental number | 2380 |
| Place of birth | Stawell Victoria |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Bruce Rock PO, Bruce Rock, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John McIntosh, Bruce Rock, Western Australia |
| Enlistment date | 11 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/15/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on 16 May 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 20 January 1917 |
| Miscellaneous details (Nominal Roll) | 10th LH |
