| Regimental number | 37768 |
| Occupation | Labourer |
| Next of kin | Aunt, Mrs A Clark, Belmont, Lower Hutt |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 21st Reinforcements, F Company |
| Embarkation details | Unit embarked from Wellington on board Waitemata on |
| Final rank | Private |
| Final unit | 1st Battalion, Wellington Infantry Regiment |
| Fate | Died of wounds |
| Age at death from cemetery records | 24 |
| Place of burial | Wimereux Communal Cemetery (Plot VI, Row D, Grave No 21A), Pas de Calais, France |
| Miscellaneous information from cemetery records | Parents: Sydney and Jessie Clark, 10 Macauley Street, Addington, New Zealand |
| Sources | Nominal Roll Vol. 3: Roll 52, p. 20 |