| Regimental number | 2500 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Quigg Street, Lakemba, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J E Cohen, Quigg Street, Lakemba, New South Wales |
| Enlistment date | 25 July 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 21 July 1918 |
