| Regimental number | 7611 |
| Place of birth | Warrnambool, Victoria |
| Religion | Presbyterian |
| Occupation | Farrier |
| Address | 479 Rae Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Helen Black, same address |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Australian Reserve Park 1, Reinforcement 11 |
| AWM Embarkation Roll number | 25/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Fawkner Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
