| Regimental number | 4814 |
| Place of birth | Barnou Russia |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | Seamans Institute George Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Miss F Gursman c/o Fortune of War Hotel 137 George Street, North Sydney, New South Wales |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 25 January 1919 |