| Regimental number | 5676 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Law clerk |
| Address | 1202 Hay Street West, Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M E A Cohn, 1202 Hay Street West, Perth, Western Australia |
| Enlistment date | 23 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A29 Suevic on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 17 June 1918 |
