| Regimental number | 1422 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Peter Mickkelson, Mardsen Road, St Mary's, New South Wales |
| Enlistment date | 6 September 1915 |
| Date of enlistment from Nominal Roll | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 11 May 1919 |
