| Regimental number | 5967 |
| Place of birth | Hull England |
| Religion | Jewish |
| Occupation | Labourer |
| Address | Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs F Cohen, PO Box 2311, Johannesburg, South Africa |
| Enlistment date | 10 August 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, December 1916 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia 21 July 1917 |
