| Regimental number | 5649 |
| Place of birth | Vilna Russia |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Maria Srebel, c/o Mr Stoopachenks, Stanley Street, South Brisbane, Queensland |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/42/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
