| Regimental number | 20104 |
| Place of birth | London England |
| Religion | New Church |
| Occupation | Clerk |
| Address | Queen's Crescent, Mt Lawley, Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, M Rosen, Queen's Crescent, Mt Lawley, Perth, Western Australia |
| Previous military service | 38th Battery Australian Field Artillery |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 11 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 32 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |