| Regimental number | 5067 |
| Place of birth | Russia |
| Religion | Jewish |
| Occupation | Cigarette manufacturer |
| Address | 31 Junction Street, Forest Lodge, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs. S. Chain, 31 Junction Street, Forest Lodge, New South Wales |
| Enlistment date | 29 November 1915 |
| Date of enlistment from Nominal Roll | 26 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 15 November 1917 |
