| Regimental number | 1596 |
| Place of birth | New South Wales |
| Religion | Presbyterian |
| Occupation | Shearer |
| Address | c/o Norman McIntyre, Remo, Gundagai, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Uncle, c/o Norman McIntyre, Remo, Gundagai, New South Wales |
| Enlistment date | 15 December 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 2 January 1919 |
| Miscellaneous details (Nominal Roll) | 4th Bn |
