| Regimental number | 4864 |
| Place of birth | Nobby Queensland |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J P Petersen, Nobby, Queensland |
| Enlistment date | 7 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 12 May 1919 |
