
| Regimental number | 4761 |
| Place of birth | Reven Russia |
| Religion | Orthodox |
| Occupation | Seaman |
| Address | Seamen's Mission, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs K Kullerhein via Reval Rock, Lokso Thurboneme, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Died of wounds |
| Place of burial | St. Sever Cemetery Extension (Block O, Plot II, row K, Grave No. 4), Rouen, France |
| Panel number, Roll of Honour, Australian War Memorial | 157 |