| Regimental number | 21166 |
| Place of birth | MacKay Queensland |
| Religion | Church of England |
| Occupation | Auctioneer |
| Address | Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, H L Black, Mackay, Queensland |
| Enlistment date | |
| Rank on enlistment | BSM (WO Class II) |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 3rd Division Artillery |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
