| Regimental number | 55569 |
| Place of birth | Hilston New South Wales |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Ouyen, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Black, Ouyen, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Portarlington Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
