| Regimental number | 6582 |
| Place of birth | Northampton England |
| Religion | Jewish |
| Occupation | Departmental manager |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs F S Hart, 153 Sutherland Avenue, Maida Vale, London West, England |
| Enlistment date | 27 January 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |