| Regimental number | 13495 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Motor driver |
| Address | Merton Road, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Margaret Elizabeth Black, Hardgrave Road, South Brisbane, Queensland |
| Enlistment date | 2 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Auxiliary Mechanical Transport Company 3, Reinforcement 1 |
| AWM Embarkation Roll number | 25/113/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia 5 April 1919 |
