| Regimental number | 5059 |
| Place of birth | Ardrossan South Australia |
| Religion | Methodist |
| Occupation | Printer's assistant |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Florence May Petersen, 220 Bulwer Street, Perth, Western Australia |
| Enlistment date | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 14 January 1919 |
