| Regimental number | 2263 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Jersey Street, Turramurra, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John Peterson Jersey Street, Turramurra, New South Wales |
| Enlistment date | 6 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A63 Karoola on 16 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |