| Regimental number | 5010 |
| Place of birth | Ballarat, Victoria |
| Religion | New Church |
| Occupation | Cook |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs J Cohen, 412 Madeline Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |