| Regimental number | 12 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Sawyer |
| Address | Queenscliff, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, John A Black, Lords Lane, Mascot, New South Wales |
| Enlistment date | 17 August 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, A Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Headquarters |
| Fate | Returned to Australia 9 September 1916 |
