| Regimental number | 13983 |
| Place of birth | Chelyalunsk Russia |
| Religion | Greek Orthodox |
| Occupation | Fitter |
| Address | Mossman, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Evdokia Kostin, Chelyalinsk, Russia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 12th Field Company Engineers, Reinforcement 3 |
| AWM Embarkation Roll number | 14/31/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
