| Regimental number | 5066 |
| Place of birth | Siberia |
| Religion | Roman Catholic |
| Occupation | Seaman |
| Address | General Post Office, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs H Chernianin, Norva Bazar, Harbin, Manchuria |
| Enlistment date | 22 December 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Fate | No details of fate entered on Nominal Roll |
