| Regimental number | 2109 |
| Place of birth | Melbourne Victoria |
| Religion | Jewish |
| Occupation | Salesman |
| Address | 24 Beaconsfield Parade, St Kilda, Victoria |
| Age at embarkation | 30 |
| Next of kin | Mother, Natabil Visbord, 24 Beaconsfield Parade, St Kilda, Victoria |
| Enlistment date | 31 May 1915 |
| Date of enlistment from Nominal Roll | 12 June 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 22nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 69th Battalion |
| Fate | Returned to Australia 23 May 1919 |
