| Regimental number | 10062 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | P O Sandgate, Sandgate, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Florence Peterson, P O Sandgate, Sandgate, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 11th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
