| Regimental number | 5048 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 73 Hamlet Street, Quarry Hill, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Brother, Mr D R Black, 73 Hamlet Street, Quarry Hill, Bendigo, Victoria |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Fate | No details of fate entered on Nominal Roll |
