| Regimental number | 6316 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | Scotia, Roberts Street, St Peters, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs M E Petersen, Scotia, Roberts Street, St Peters, Sydney, New South Wales |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 25 January 1919 |
