| Regimental number | 641 |
| Place of birth | Launceston Tasmania |
| Religion | Baptist |
| Occupation | Printer's feeder |
| Address | Monk Street, Gardenvale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C Petterson, Devon Street, South Burnie, Tasmania |
| Enlistment date | 11 March 1916 |
| Date of enlistment from Nominal Roll | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, B Company |
| AWM Embarkation Roll number | 23/55/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
