| Regimental number | 16630 |
| Place of birth | Newcastle New South Wales |
| Religion | Presbyterian |
| Occupation | Survey draftsman |
| Address | Hill Street, Lambton, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Louis Emmanuel Polak, Hill Street, Lambton, Newcastle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Division Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
