| Regimental number | 4958 |
| Place of birth | Hull England |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Peterson, Smith Street, Wollongong, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Name recorded on cemetery headstone as PETERSEN. Parents: John Thomas (d. 24 November 1937; bu. Wollongong General Cemetery) and Emma (d. 20 September 1940; bu. Wollongong General Cemetery) PETERSEN |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 47 |
| Place of burial | Wollongong General Cemetery, New South Wales |