| Regimental number | 3483 |
| Place of birth | Russia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 5 Mackie Street, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Philemon Gusaroff, Cronstadt, Russia |
| Enlistment date | 23 December 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 18 January 1919 |
