| Regimental number | 1270 |
| Place of birth | Hamley Bridge, South Australia |
| Religion | Congregational |
| Occupation | Bank clerk |
| Address | Gawler Railway, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Fanny Eliza Black, Gawler Railway, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 6th Reinforcement |
| AWM Embarkation Roll number | 10/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT SS Hawkes Bay on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Light Horse Regiment |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
