| Regimental number | 6900 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 28 Percy Street, West Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs M J Peterson, 28 Percy Street, West Brunswick, Victoria |
| Enlistment date | 30 August 1916 |
| Date of enlistment from Nominal Roll | 6 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Regimental number from Nominal Roll | 6901 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Effective abroad (still overseas) |