| Regimental number | 1504 |
| Place of birth | Kew, Victoria |
| Religion | Baptist |
| Occupation | Factory hand |
| Address | 6O Mary Street, Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G M Black, 6O Mary Street, Kew, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Died of wounds |
| Date of death | |
| Place of burial | Anzac Cemetery (Plot I, Row H, Grave No. 4), Sailly-Sur-La-Lys, France |
| Panel number, Roll of Honour, Australian War Memorial | 165 |
| Miscellaneous information from cemetery records | Son of Mr. G.M. BLACK, Kew, Victoria |