| Regimental number | 16336 |
| Place of birth | Middle Park Victoria |
| Religion | Jewish |
| Occupation | Salesman |
| Address | Middle Park, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Mendes, 209 Beaconsfield Parade, Middle Park, Victoria |
| Previous military service | 13th Australian Army Medical Corps |
| Enlistment date | 2 November 1916 |
| Rank on enlistment | Private |
| Unit name | Hospital Transport Corps |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board No 2 Hospital Ship Kanowna on 25 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
