| Regimental number | 14634 |
| Religion | Jewish |
| Occupation | Carrier |
| Address | 'Eastbourne', Le Fevre Terrace, North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, J Haines, Le Fevre Terrace, North Adelaide, South Australia |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 23, Reinforcement 2 |
| AWM Embarkation Roll number | 13/133/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Fate | No details of fate entered on Nominal Roll |