| Regimental number | 21055 |
| Place of birth | Melbourne Victoria |
| Religion | Jewish |
| Occupation | Assistant chemist |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Gross, 2 Mulgoa Street, Brighton, Victoria |
| Enlistment date | 25 April 1918 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Ship subsequently recalled owing to cessation of hostilities. |
| Other details | Medal: British War Medal |
