| Regimental number | 10/2222 |
| Address | 29 Victoria Street, Masterton |
| Marital status | Single |
| Next of kin | Mother, Mrs D W McIntosh, 29 Victoria Street, Masterton |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Other details | Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1 |