| Regimental number | 5552 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 13 Belmore Street, Enmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, Harry Cohen, Main Street, Murwillumbah, New South Wales |
| Enlistment date | 17 December 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 21 December 1918 |
