| Regimental number | 2797 |
| Place of birth | London England |
| Religion | Congregational |
| Occupation | Labourer |
| Address | 5 Park Terrace, Walkerville, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A J Gottlieb, 361 Commercial Road, London, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: Military Medal Recommendation date: |
| Fate | Discharged |