| Regimental number | 50911 |
| Place of birth | Urana New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ariah Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M E Mickelson, Ariah Park, New South Wales |
| Enlistment date | 27 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 20 July 1919 |
