| Regimental number | 2714 |
| Place of birth | Tamworth New South Wales |
| Religion | Methodist |
| Occupation | Carpenter |
| Address | Victory Street, Belmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. Annie Petersen, Brestcam Street, Tamworth, New South Wales |
| Enlistment date | 12 April 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Regimental number from Nominal Roll | 2714E |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 12 May 1919 |
