| Regimental number | 2109 |
| Place of birth | Kieff Russia |
| Religion | Jewish |
| Occupation | Seaman |
| Address | Salvation Army, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Fanny Koty, 416 Wyona Street, Brooklyn, New York, USA |
| Enlistment date | 6 July 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia 18 January 1919 |
