| Regimental number | 18861 |
| Place of birth | Toowoomba Queensland |
| Religion | Jewish |
| Occupation | Railway employee |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Lillian Elizabeth Bloom, 'Leesholme', Tribune Street, South Brisbane, Queensland |
| Enlistment date | 11 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 17th Light Railway Operating Company |
| Fate | Returned to Australia 17 June 1918 |
| Date of death | 26 September 1958 |
| Place of burial | Toowong Cemetery |
