
| Regimental number | 1852 |
| Place of birth | Laidley Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Carl Christian Petersen, Thornton, Laidley, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on |
| Recommendations (Medals and Awards) |
croix de Guerre (Belgium) Recommendation date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Croix de Guerre (Belgium) Source: Cg 91 Date: |