| Regimental number | 4903 |
| Place of birth | Adelaide South Australia |
| Religion | Jewish |
| Occupation | Cigar maker |
| Address | 21 Dorrett Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mrs J Simmons, 21 Dorrett Street, Carlton, Victoria |
| Enlistment date | 30 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Regimental number from Nominal Roll | 4905 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 15 September 1918 |
