| Regimental number | 6791 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Jamieson Town, Penrith, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, W McIntyre, Jamieson Town, Penrith, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 27 September 1917 |
| Miscellaneous details (Nominal Roll) | 2nd Bn |
