| Regimental number | 5555 |
| Place of birth | Isle Of Dead Baltic Sea |
| Religion | Orthodox |
| Occupation | Engineer |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | , Hobart, Tasmania |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 6th Field Company Engineers, 2nd Reinforcement |
| AWM Embarkation Roll number | 14/25/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 13th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
