| Nation | John Boath | 1333 | Corporal | Source: OZ-Boer database | Australian Army Medical Corps |
| Nation | John James Henry | | Lieutenant | To England 28 Jul 1902. MiD by Roberts 4 Sep 1901. Medal held by the Imperial War Museum.
QSA (5) CC OFS Joh DH Belf. KSA
TNA ref 156/72:313/1 12 | Royal Engineers, Field Company, 12th |
| Nation | P | 4637 | Lance Corporal | Demise: Killed in action 24 Feb 1902
Place: Vrede Near Langverwacht
Source: In Memoriam by S Watt | New Zealand, 7th Contingent |
| Nation | P | | | Source: QSA and KSA medal rolls | New Zealand, 7th Contingent |
| Nation | P | 4637 | Lance Corporal | Killed in action. Langverwacht, 24 February 1902
Mounted Rifles. Mounted Rifles
Source: South African Field Force Casualty Roll | New Zealand contingent |
| Nation | Percy Eastwood | 295 | Trooper | Source: OZ-Boer database | South Australia, 5th Imperial Contingent |
| Nation | R | | | Source: QSA and KSA medal rolls | 7th Battery, RFA |
| Nation | R | 5327 | Private | QSA (1) DoL
Provisional list of recipients
Source: Ladysmith Siege Account and Medal Roll | Gloucestershire Regiment |
| Nation | R | | | 1st Battalion
Source: QSA and KSA medal rolls | Gloucestershire Regiment |
| Nation | T | | | Volunteer Service Company
Source: QSA and KSA medal rolls | (Prince Albert's) Somerset Light Infantry |
| Nation | T H | 29145 | Private | Demise: Killed in action 18 Oct 1901
Place: Kranspoort
Source: In Memoriam by S Watt | 25th Company, 7th Btn, IY |
| Nation | Thomas Henry | 29145 | Private | Source: QSA Medal Rolls | 25th Company, 7th Btn, IY |
| Nation | W | | | 2nd Volunteer Service Company
Source: QSA and KSA medal rolls | Royal Warwickshire Regiment |
| Nation | W | | | Source: QSA and KSA medal rolls | 7th Battery, RFA |
| Nation | W H | | | 2nd Volunteer Service Company
Source: QSA and KSA medal rolls | Royal Warwickshire Regiment |
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