| Regimental number | 8976 |
| Place of birth | Hastings River New South Wales |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | Telegraph Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, Mother, Mrs and Mrs J W McIntyre, Telegraph Point, New South Wales |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | 2nd Divisional Ammunition Column |
| AWM Embarkation Roll number | 25/90/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A39 Port Macquarie on 16 November 1915 |
| Rank from Nominal Roll | Corporal |
| Fate | Returned to Australia 15 May 1919 |
| Miscellaneous details (Nominal Roll) | 2nd Division Ammunition Column |