| Regimental number | 3127 |
| Place of birth | Newcastle England |
| Religion | Methodist |
| Occupation | Sailor |
| Address | Broken Hill, N.S.W. |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Peter Petersen, Hgerting, Jutland, Denmark |
| Enlistment date | 26 October 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A6 Clan Mccorquodale on 5 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
