| Regimental number | 18654 |
| Place of birth | London England |
| Religion | Jewish |
| Occupation | Tailor |
| Address | Coogee, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Miss A Lipman, 39 Titchfield Street, Marleybone, London, England |
| Enlistment date | 20 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AAMU |
| Fate | Returned to Australia 21 July 1918 |
