| Regimental number | 53066 |
| Occupation | Labourer |
| Next of kin | Wife, Mrs O Petersen, c/o J Prentice, Boundary Road, Palmerston North |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 28th Reinforcements (First Draft), Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Waitemata on |
| Sources | Nominal Roll Vol. 3: Roll 69, p. 6 |