| Regimental number | 1707 |
| Place of birth | Thornton Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Thornton via Laidley, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Carl Petersen, Thornton via Laidley, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Machine Gun Company |
| Fate | Died of wounds |
| Place of burial | Mud Corner British Cemetery (Plot I, Row A, Grave No. 13), Warneton, Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 179 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |