| Regimental number | 3771 |
| Place of birth | Cumberland England |
| Religion | Church of England |
| Occupation | Baker |
| Address | Cessnock, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Joseph Richard Black, Vincent Street, Cessnock, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Enlist date typing was unclear please verify |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
