| Regimental number | 7816 |
| Place of birth | Kallundborg Denmark |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, N Petersen, Nygeeds Mark, Berawineriga, Denmark |
| Enlistment date | 10 November 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/21/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Discharged 17 June 1919 |
