| Regimental number | 27454 |
| Occupation | Carpenter |
| Next of kin | Mother, Mrs A D Clark, 32 Town Belt, Dunedin |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 17th Reinforcements, Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Pakeha on |
| Sources | Nominal Roll Vol. 2: Roll 41, p. 15 |