| Religion | Jewish |
| Occupation | Medical practitioner |
| Address | Gilgandra, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M J Hains, Box 55 G P O Adelaide, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on |
| Fate | No details of fate entered on Nominal Roll |