| Regimental number | 1954 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | 277 Balmain Raod, Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E M Kohen, 277 Balmain Raod, Leichhardt, New South Wales |
| Enlistment date | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Regimental number from Nominal Roll | 3487 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 15 April 1918 |
