| Regimental number | 4807 |
| Religion | Jewish |
| Occupation | Coachbuilder |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Hannah Jacobs, 64 Carrington Street, Adelaide, South Australia |
| Enlistment date | 21 February 1917 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
