| Regimental number | 6828 |
| Place of birth | Warwick Queensland |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Warwick, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Hans Willadsen Petersen, Upper Freestone via Warwick, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
