| Regimental number | 28121 |
| Place of birth | Sydney New South Wales |
| Religion | Jewish |
| Occupation | Warehouse assistant |
| Address | 'Trowbridge', Flood Street, Bondi, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J E Bloom, 477 King Street, Newtown, Sydney, New South Wales |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 5, Reinforcement 7 |
| AWM Embarkation Roll number | 25/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Returned to Australia 1 May 1919 |
