| Regimental number | 5052 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Clerk |
| Address | Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E M A Levey, 43 Page Street, Albert Park, Victoria |
| Enlistment date | 31 January 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Depot Unit of Supply |
| Fate | Effective abroad (still overseas) |
