| Regimental number | 3050 |
| Place of birth | Morphettville South Australia |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | New Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Florence Maria Petersen, 106 Brighton Road, New Glenelg, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/8/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on |
| Regimental number from Nominal Roll | 13050 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *given names on NR are Gerpart William |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
