| Regimental number | 20561 |
| Place of birth | Kent Town South Australia |
| Religion | Jewish |
| Occupation | Optician |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Miss V Meyer, 4 Tavistock Street, Adelaide, South Australia |
| Previous military service | 78th Infantry |
| Enlistment date | 30 November 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 | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |