| Regimental number | 9/366 |
| Address | Waitati |
| Marital status | Single |
| Next of kin | Charles Clark, Waitati, Dunedin |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, Main Body, Otago Mounted Rifles Regiment |
| Embarkation details | Unit embarked from Wellington on |
| Three squadrons of the Otago Mounted Rifles Regiment left New Zealand on board 'Hawke's Bay', and one squadron on board 'Verdala'. From the Nominal Roll it is not possible to determine on which ship an individual embarked. | |
| Final rank | Lance Corporal |
| Final unit | 22nd Corps Cyclist Battalion |
| Fate | Died of wounds |
| Age at death from cemetery records | 25 |
| Place of burial | Nine Elms British Cemetery (Plot X, Row E, Grave No 11), Poperinge, Belgium |
| Miscellaneous information from cemetery records | Parents: Charles and Agnes Clark, of Waitati, Otago |
| Miscellaneous details | Nominal Roll Vol. 1: Otago Mounted Rifles/Main Body |