| Regimental number | 2390 |
| Place of birth | Yengarie Queensland |
| Religion | Presbyterian |
| Occupation | Soldier |
| Address | Fort Lane, Maryborough, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Catherine Black, Port Lane, Maryborough, Queensland |
| Enlistment date | 1 March 1917 |
| Rank on enlistment | Sergeant |
| Unit name | 11th Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
