| Regimental number | 6/2096 |
| Address | Burnetts Face, Denniston |
| Marital status | Single |
| Next of kin | Mother, Mrs Louis Cohen, Blacks Point, Reefton |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 5th Reinforcements to 3rd Battalion, G Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Fifth |