| Regimental number | 3870 |
| Place of birth | Pernau Russia |
| Religion | Orthodox |
| Occupation | Engine driver |
| Address | 22 Market Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | K Tamm, Pereselenseskoi, Wolosti, No 150 Wologodskoiguberni, via Petrograd, Russia |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 1st Divisional Ammunition Column, 2nd and 3rd Reinforcements |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A50 Itonus on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A50 Itonus on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A21 Marere on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Divisional Ammunition Column |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
