| Regimental number | 1079 |
| Religion | Church of England |
| Occupation | Cook |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Brother, A Gershom, 12th Bengal Infantry, Tahore, India |
| Enlistment date | 11 October 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A38 Ulysses on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 26 January 1938 |
| Place of burial | Rookwood Necropolis |
