| Regimental number | 1129 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 308 Melbourne Road, Newport, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Annie Petersen, (stated to be Anne Elizabeth Reid), 79 River Street, Newport, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 8th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A55 Kyarra on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
