| Regimental number | 33302 |
| Occupation | Fireman |
| Next of kin | Mother, Mrs Amy Clark, Mosley, Birmingham, England |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 8 |