
| Regimental number | 8 |
| Place of birth | Vladicarcase, Russia |
| Other Names | Coultschonc |
| Religion | Orthodox |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Katarno Azieff, Vladicaicase, Caucasia, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, A Company |
| AWM Embarkation Roll number | 23/43/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Died of wounds |
| Place of death or wounding | France |
| Age at death | 32 |
| Place of burial | Lijssenthoek Military Cemetery (Plot X, Row B, Grave 37a), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 103 |