| Regimental number | 23665 |
| Occupation | Cooper |
| Next of kin | Wife, Mrs L A Belsham, 64 Surrey Crescent, Grey Lynn, Auckland |
| Rank on embarkation | Sapper |
| Unit name | New Zealand Expeditionary Force, 13th Reinforcements, New Zealand Field Engineers |
| Embarkation details | Unit embarked from Wellington on |
| Sources | Nominal Roll Vol. 2: Roll 33, p. 21 |