| Regimental number | 2967 |
| Place of birth | Forster New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Forster, Cape Hawke, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, M McIntosh, Forster, Cape Hawke, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | 3rd Machine Gun Bn |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |