| Regimental number | 3873 |
| Place of birth | Portarlington, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E E Black, Thornbury PO, Thornbury, Victoria |
| Enlistment date | 25 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 4 Tunnelling Company and 1st Reinforcements (May 1916) |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 25 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Effective abroad (still overseas) |
