| Regimental number | 10758 |
| Occupation | Farm hand |
| Next of kin | Father, S Bellamy, Hurleyville, Taranaki |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (2nd Draft), 1st New Zealand Cyclist Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 52 Mokoia on |
| Medals |
Military Medal 'For bravery in the field. (Plooegsteert)
Source: 'London Gazette' Date: |
| Other details |
War service: Western Front Medals: Military Medal, British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 31, p. 4 |