| Regimental number | 275 |
| Religion | Jewish |
| Occupation | Cabinet maker |
| Address | Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W Grimblat, 12 Steinfield Street, Ballarat East, Victoria |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| AWM Embarkation Roll number | 26/104/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
