| Regimental number | 1264 |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | Toora, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, F H Peterson, Toora, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/9/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |