| Regimental number | 74081 |
| Occupation | Medical student |
| Next of kin | Father, F Clark, 19 Ranui Road, Remuera, Auckland |
| Rank on embarkation | Sergeant |
| Unit name | New Zealand Expeditionary Force, 41st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Ulimaroa on |
| Sources | Nominal Rolls Vol. 4: Roll 87, p. 7 |