| Regimental number | 4638 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, T Peterson, 65 Cecil Street, South Melbourne, Victoria |
| Enlistment date | 6 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 12 May 1919 |
