| Regimental number | 1949 |
| Place of birth | Talsen RUSSIA |
| Religion | Russian Orthodox |
| Occupation | Seaman |
| Address | Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, George Smith, 71 Joan and Mount Streets, Pyrmont, Sydney, New South Wales |
| Enlistment date | 1 January 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |