| Regimental number | 1004 |
| Religion | Greek Orthodox |
| Occupation | Labourer |
| Address | Townsville PO, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs P Tkackanko, Mestrechno, Husiaton, Russia |
| Enlistment date | 8 March 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, D Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Regimental number from Nominal Roll | 1004A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 24 March 1919 |