| Regimental number | 1107 |
| Place of birth | Bywater, Victoria |
| Religion | Protestant |
| Occupation | Engineer |
| Address | Post Office, Wangaratta, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs Geo Black, Post Office, Wangaratta, Victoria |
| Enlistment date | 9 October 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 21 December 1918 |
