| Regimental number | 1726 |
| Place of birth | Stansbury South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Stansbury, South Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Mary Ann Peterson, Stansbury, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 219 Date: |
| Date of death |