| Regimental number | 3811 |
| Place of birth | Pernaw Russia |
| Religion | Orthodox |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Martinson, Livland Gub, Pernovski Uesd Takeroztski Volast, Russia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
