| 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 | 1 May 1918 |
| 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 29 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
