| Regimental number | 3291 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Grocer |
| Address | Caswell Street, East Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Lizzie Cohen, Jeay Street, Bowen Hill, Valley, Brisbane, Queensland |
| Enlistment date | 30 January 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 27th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a & NZ Mounted DTrn |
| Fate | Returned to Australia 10 July 1919 |
