| Regimental number | 25467 |
| Occupation | Plumber |
| Next of kin | Mother, Mrs J G Clark, c/o F Amoore, Whakatane |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Wellington Infantry Battalion, B Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 8 |