| Regimental number | 275 |
| Place of birth | Jerusalem Palestine |
| Religion | Jewish |
| Occupation | Cabinetmaker |
| Address | 12 Steinfield Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Wolf Grimblat, 12 Steinfield Street, Ballarat East, Victoria |
| Enlistment date | 10 May 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps - Hospital Transports (Number 1 Hospital Ship A61, "Kanowna") |
| AWM Embarkation Roll number | 26/104/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A61 Kanowna on n.d. |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | No 2 Australian Hospital Ship 'Kanowna' |
| Fate | Effective abroad (still overseas) |
