| Regimental number | 5014 |
| Place of birth | Bolshi-Potalski Russia |
| Religion | Lutheran |
| Occupation | Painter |
| Address | GPO Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Ivan Goffin, Folbin, Potolski, Russia |
| Enlistment date | 18 February 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 16 January 1919 |