| Regimental number | 2966 |
| Place of birth | Mannum South Australia |
| Religion | Methodist |
| Occupation | Store assistant |
| Address | Mannum, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Katherine Petersen, Mannum, South Australia |
| Enlistment date | 24 February 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/49/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 26 September 1917 |
| Date of death | 24 June 1962 |
| Place of burial | West Terrace Cemetery |
