| Regimental number | 1762 |
| Date of birth | |
| Place of birth | Russia |
| Religion | Orthodox |
| Occupation | Labourer |
| Address | Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Kozakoff, Stanie, Natatir, Spassk Keesan, Russia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Enlisted from Cairns, Queensland War Service: Gallipoli, France, Belgium, Western Front |
| Place of burial | Died in Brisbane and was interred at the Mt Gravatt Crematorium on 12 July 1956 |