| Regimental number | 3309 |
| Place of birth | Copenhagen Denmark |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs R Petersen, Falconcralle, Copenhagen, Denmark |
| Enlistment date | 13 April 1917 |
| Rank on enlistment | Private |
| Unit name | Camel Corps, May 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia 26 January 1919 |
