| Regimental number | 22252 |
| Place of birth | Perth, Western Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 137 Mills Street, Middle Park, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, M Cohen, 137 Mills Street, Middle Park, Victoria |
| Enlistment date | 7 February 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Battery 109 |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 8th Field Artillery Brigade |
| Fate | Returned to Australia 6 September 1919 |
