| Regimental number | 3837 |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Friezland, Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Miss Parakovia O Kornaick, Poritisk, Whadimer, Valimsk, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
