| Regimental number | 1999 |
| Place of birth | Clare, South Australia |
| School | Pingelly School, Western Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Ravensthorpe |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, John Black, Gnowangerup, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Place of burial | Margaret River Cemetery, Western Australia |