| Regimental number | 2791 |
| Place of birth | Maryborough Queensland |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Melrose, Tinana via Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Alma Petersen, Melrose, Tinana via Maryborough, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
