| Regimental number | 4862 |
| Place of birth | Woombye Queensland |
| Religion | Presbyterian |
| Occupation | Lengthsman |
| Address | Robert Street, off Long Street, Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs L Petersen, Robert Street off Long Street, Toowoomba, Queensland |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 1 February 1918 |