| Regimental number | 16165 |
| Place of birth | Hay New South Wales |
| Religion | Jewish |
| Occupation | Traveller |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E M Herman, 39 Alma Road, St Kilda, Victoria |
| Enlistment date | 21 March 1916 |
| Date of enlistment from Nominal Roll | 4 March 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 23 June 1919 |
