| Regimental number | 36559 |
| Occupation | Farmer |
| Next of kin | Mother, Mrs Jane Clark, Waipounamu, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 14 |