| Regimental number | 1014 |
| Date of birth | |
| Place of birth | Scarsdale, Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Rosina Black, 9 Blair Street, Ballarat East, Victoria |
| Enlistment date | |
| Rank on enlistment | Corporal |
| Unit name | 43rd Battalion, C Company |
| AWM Embarkation Roll number | 23/60/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 43rd Battalion |
| Promotions |
2nd Lieutenant Unit: INF43 Promotion date: Lieutenant Unit: INF43 Promotion date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
