| Regimental number | 1328 |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, W Mintshlin, Vilna city, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 10th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |