| Regimental number | 4257 |
| Religion | Roman Catholic |
| Occupation | Civil servant |
| Address | 48 Arthur Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Joseph Cohen, 48 Arthur Street, North Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 8th Reinforcement |
| AWM Embarkation Roll number | 26/39/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
