| Regimental number | 16710 |
| Place of birth | Glenferrie, Victoria |
| Religion | Presbyterian |
| Occupation | Telephone mechanic |
| Address | 7 Taylor Street, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Albert Cohen, 7 Taylor Street, Moonee Ponds, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance, 25th Reinforcement |
| AWM Embarkation Roll number | 26/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Karmala on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
