| Regimental number | 62769 |
| Place of birth | Perth, Western Australia |
| Religion | Roman Catholic |
| Occupation | Lock and gun smith |
| Address | Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, C Belicke, Yarraville, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
