| Regimental number | 755 |
| Religion | Jewish |
| Occupation | Pearl cleaner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs A R Goldstein, Ranelagh Darling Point Road, Darling Point, New South Wales |
| Enlistment date | 3 October 1914 |
| Rank on enlistment | Colour SGT |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
