| Regimental number | 29746 |
| Occupation | Labourer |
| Next of kin | Sister, Miss A Clark, Heddon Bush, Southland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Willochra on |
| Final rank | Private |
| Final unit | New Zealand Entrenching Group |
| Fate | Killed in Action |
| Age at death from cemetery records | 23 |
| Place of burial | Meteren Military Cemetery (Plot II, Row M, Grave No 321), Nord, France |
| Miscellaneous information from cemetery records | Parents: David Fraser Clark and Sophia Clark, Invercargill |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 13 |