| Regimental number | 10/2103 |
| Address | Mrs G H Barty, Chapple Street, Masterton |
| Marital status | Single |
| Next of kin | Sister, Miss Mary Clark, 16 Mill Street, Driffield, Yorkshire, England |
| Rank on embarkation | Private |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Wellington Infantry Battalion |
| Embarkation details | Unit embarked from Wellington on board Maunganui on |
| Final rank | Private |
| Final unit | 1st Battalion, Wellington Infantry Regiment |
| Fate | Died of disease |
| Age at death from cemetery records | 39 |
| Place of burial | Driffield Cemetery (Grave No 1923), Yorkshire, England |
| Miscellaneous information from cemetery records | Parents: W and Eliza Clark. Born at Driffield, England |
| Other details | Medals: 1914-15 Star, British War Medal, Victory Medal |
| Miscellaneous details | Nominal Roll Vol. 1: Wellington Infantry Batln/Fifth |