| Regimental number | 65328 |
| Occupation | Butcher |
| Next of kin | Mother, Mrs Clara Belsham, 119 Daniel Street, Newtown, Wellington |
| Rank on embarkation | Lance Corporal |
| Unit name | New Zealand Expeditionary Force, 33rd Reinforcements, Wellington Infantry Regiment, B Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT No 99 Athenic on |
| Sources | Nominal Roll Vol. 3: Roll 76, p. 7 |