| Regimental number | 54170 |
| Place of birth | Cootamundra New South Wales |
| Religion | Jewish |
| Occupation | Jackeroo |
| Address | Coolitta, Burradoo, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, S Cohen, Coolitta, Burradoo, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 30 April 1918 |
| Date of enlistment from Nominal Roll | 29 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Effective abroad (still overseas) |
