| Regimental number | 3627 |
| Place of birth | Lucknow, Victoria |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Abbotsford, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E Cohen, 133 Charles Street, Abbotsford, Victoria |
| Enlistment date | 20 November 1917 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/63/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 8 January 1919 |
