| Regimental number | 6/2576 |
| Address | c/o R Catherwood, St Andrews, South Canterbury |
| Marital status | Single |
| Next of kin | Father, Charles Clark, Double Hill, Waitati |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 6th Reinforcements, Canterbury Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board HMNZT 27 Willochra on |
| Miscellaneous details | Nominal Roll Vol. 1: Canterbury Infantry Batln/Sixth |