| Regimental number | 40O |
| Place of birth | Russia |
| Age on arrival in Australia | 29 |
| Religion | Roman Catholic |
| Occupation | Boilermaker |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Friend, Mrs Mary Ann 1ves, 10 Napoleon Street, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 37 |
| Age at death from cemetery records | 37 |
| Place of burial | Templeux-le-Guerard British Cemetery (Plot II, Row F, Grave No. 32), France |
| Panel number, Roll of Honour, Australian War Memorial | 27 |
| Miscellaneous information from cemetery records | Native of Russia |