| Regimental number | 41615 |
| Occupation | Machinist |
| Next of kin | Mother, Mrs A Petersen, 258 Taranaki Street, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 23rd Reinforcements, F Company (Unattached) |
| Embarkation details | Unit embarked from Wellington on board HMNZT Corinthic on |
| Sources | Nominal Roll Vol. 3: Roll 57, p. 21 |