| Regimental number | 6097 |
| Place of birth | Ballarat, Victoria |
| Religion | Roman Catholic |
| Occupation | Station hand |
| Address | Farina, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Height | 5' 6" |
| Weight | 144 lbs |
| Next of kin | Mother, Mrs E Hickey, Glenore, Springdallah via Ballarat, Victoria |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Commenced return to Australia on board HT 'Suffolk', 13 April 1917; discharged (termination of period of assessment), Adelaide, 10 July 1919. Medals: British War Medal, Victory Medal |
| Sources | NAA: B2455, SHELTON John |