| Regimental number | 6028 |
| Place of birth | Windau Russia |
| Religion | Lutheran |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Russian Consul, J. St Welch, Sydney, New South Wales |
| Enlistment date | 16 August 1916 |
| Date of enlistment from Nominal Roll | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Corps Headquarters |
| Fate | Returned to Australia 6 May 1919 |
