| Regimental number | 1410 |
| Religion | Orthodox |
| Occupation | Fireman |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Zeenia, Wyandav, Baltic, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, G Company |
| AWM Embarkation Roll number | 23/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board TRANSPORT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia |