| Regimental number | 2186 |
| Place of birth | Brisbane Qld |
| Religion | Methodist |
| Occupation | Well borer |
| Address | Hughenden, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs Harriet Peterson, Bell Street, South Townsville, Queensland |
| Enlistment date | 6 March 1916 |
| Date of enlistment from Nominal Roll | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 23 May 1917 |
