| Regimental number | 66017 |
| Place of birth | Albury New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gerogery, New South Wales |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs E J Kohn, Gerogery, New South Wales |
| Enlistment date | 23 June 1918 |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Effective abroad (still overseas) |
