| Regimental number | 2141 |
| Place of birth | Copenhagen Denmark |
| Religion | Methodist |
| Occupation | Mill hand |
| Address | Pemberton, Western Australia |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Catrina Petersen, 293 Hay Street, Subiaco, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
