| Regimental number | 13/1119 |
| Address | Maramarua, Waikato |
| Marital status | Single |
| Next of kin | Father, H C Clark, Maramarua, Waikato |
| Rank on embarkation | Trooper |
| Enlistment status | Volunteer |
| Unit name | New Zealand Expeditionary Force, 5th Reinforcements, Auckland Mounted Rifles |
| Embarkation details | Unit embarked from Wellington on |
| Miscellaneous details | Nominal Roll Vol. 1: Auckland Mounted Rifles/Fifth |