| Regimental number | 3306 |
| Place of birth | Melbourne, Victoria |
| Religion | Presbyterian |
| Occupation | Salesman |
| Address | Osborne, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs L M Black, Grant Street, Osborne, Western Australia |
| Enlistment date | 6 July 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Administrative Headquarters |
| Fate | Returned to Australia 3 March 1919 |