| Regimental number | 2727 |
| Place of birth | Ostrow Russia |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | Mount Morgan, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Kladvia Kalasnikoff, Ostrow, Pskow, Gub, Russia |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A48 Seang Bee on 21 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 17 October 1916 |
