| Regimental number | 6972 |
| Place of birth | London, England |
| Religion | Methodist |
| Occupation | Farm hand |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Mr W Belien, Deptford, London, England |
| Enlistment date | |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
