| Regimental number | 4507 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | Chapman Street, Strathfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, P Peterson, Chapman Street, Strathfield, New South Wales |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Effective abroad (still overseas) |
| Date of death | 8 December 1967 |
| Place of burial | Rookwood Necropolis |