| Regimental number | 3961 |
| Religion | Jewish |
| Occupation | Agent |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J L Van Gelder, 887 Finchley Road, Golders Green, London, NW, England |
| Enlistment date | 7 April 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 17 February 1917 |
