| Regimental number | 6576 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Fisherman |
| Address | 1 South Street Tempe, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Brother, J Wax, 1 South Street ,Tempe, New South Wales |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 31 May 1919 |
