| Regimental number | 4863 |
| Religion | Roman Catholic |
| Occupation | Drover |
| Address | Clermont, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A Petersen, Stone House Wilson Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
