| Regimental number | 4250 |
| Place of birth | Brunswick Victoria |
| Religion | Jewish |
| Occupation | Salesman |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Joseph Waxman, 11 Moreland Road, Brunswick, Melbourne, Victoria |
| Enlistment date | 4 October 1915 |
| Date of enlistment from Nominal Roll | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 28 March 1919 |