| Regimental number | 1165 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | 18 Wilkins Street, Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Mary Cohen, 18 Wilkins Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, D Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 17 March 1916 |
| Miscellaneous details (Nominal Roll) | *Noted COHEN David Joseph NR |
