| Regimental number | 3404 |
| Place of birth | Nienstaught Russia |
| Religion | Jewish |
| Occupation | Dealer |
| Address | Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Johanna Lazarus, Joseph Street, Bendigo, Victoria |
| Enlistment date | 7 February 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 7 June 1918 |
