| Regimental number | 3683 |
| Place of birth | Lunforland Denmark |
| Religion | Protestant |
| Occupation | Motor mechanic |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs M Petersen, Kallundburg, Denmark |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 6th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
