| Regimental number | 1952 |
| Place of birth | Clifton Queensland |
| Religion | Presbyterian |
| Occupation | Well driller |
| Address | Murgon, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Anna Christian Petersen, Murgon, Queensland |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 3rd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 1 May 1916 |
| Regimental number from Nominal Roll | 1952A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 12 May 1919 |
