| Regimental number | 5455 |
| Place of birth | Northcote Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 220 Park Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs A Peterson, 220 Park Street, North Fitzroy, Victoria |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Regimental number from Nominal Roll | 5255 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 21 July 1917 |
