| Regimental number | 2002 |
| Place of birth | Tokmak Russia |
| Religion | Orthodox |
| Occupation | Labourer |
| Address | Blackboy Hill, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Basil Petroff, Village Tokmak, Semiretchins District, Russia |
| Enlistment date | 18 February 1915 |
| Date of enlistment from Nominal Roll | 27 January 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/28/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 26 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 25 January 1919 |
