| Regimental number | 876 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Joiner |
| Address | 52 Goodsir Street, Rozelle, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Mrs E Peterson, 52 Goodsir Street, Rozelle, New South Wales |
| Enlistment date | 11 August 1914 |
| Rank on enlistment | Private |
| Unit name | Naval and Military Expeditionary Force |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 19 August 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
