| Regimental number | 57476 |
| Occupation | Farmer |
| Next of kin | Father, Frederick Clark, 115 Waimari Road, Upper Riccarton, Christchurch |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 29th Reinforcements, Canterbury Infantry Regiment, C Company |
| Embarkation details | Unit embarked from Wellington, New Zealand, on board SS Ruahine on |
| Sources | Nominal Roll Vol. 3: Roll 70, p. 11 |