| Regimental number | 20562 |
| Occupation | Porter |
| Next of kin | Mother, Mrs E Petersen, Albion Hotel, Patea |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 7th Reinforcements to 4th Battalion, H Company |
| Embarkation details | Unit embarked from Wellington on board Navua on |
| Final rank | Rifleman |
| Final unit | 2nd Battalion, New Zealand Rifle Brigade |
| Fate | Died of wounds |
| Age at death from cemetery records | 19 |
| Place of burial | Gezaincourt Communal Cemetery Extension (Plot II, Row J, Grave No 4), France |
| Miscellaneous information from cemetery records | Parents: Martin and Ellen Petersen, Wellington |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 38 |