| Regimental number | 5025 |
| Place of birth | London England |
| Religion | Jewish |
| Occupation | Tailor |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Rose Goldstein, 'Matele', Illawarra Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 January 1918 |