| Regimental number | 20021 |
| Place of birth | Sydney New South Wales |
| Religion | Jewish |
| Occupation | Clerk |
| Address | Rockdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G Benjamin, 'Penzance', Parker Street, Rockdale, New South Wales |
| Enlistment date | 3 December 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 25 September 1919 |
