| Regimental number | 54639 |
| Occupation | Farmer |
| Next of kin | Father, A H Clark, Waihi |
| Rank on embarkation | Corporal |
| Unit name | New Zealand Expeditionary Force, 36th Reinforcements, A Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT Willochra on |
| Sources | Nominal Rolls Vol. 4: Roll 81, p. 3 |