| Regimental number | 882 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Address | 'Leona', Park Avenue, Glen Huntly, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Bessie Cohen, 43 Davison Street, West Brunswick, Victoria |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Temporary Corporal |
| Unit name | Australian Flying Corps, No 4 Squadron, Headquarters |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
