| Regimental number | 1647 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Rifle Range, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Charles Frederick Peterson, Rifle Range, Toowoomba, Queensland |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/7/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
