
| Regimental number | 8436 |
| Place of birth | St Kilda, Victoria |
| School | Public School, Broken Hill, NSW |
| Religion | Church of England |
| Occupation | Miner |
| Address | c/o Bulletin Office, Sydney, New South Wales |
| Marital status | Widower |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Annie Black, c/o Bulletin Office, Sydney, New South Wales |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Battery 18 |
| AWM Embarkation Roll number | 13/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on |
| Fate | Died of disease |
| Date of death | |
| Age at death | 43 |
| Age at death from cemetery records | 43 |
| Place of burial | Neuchatel Churchyard Grave No. 6), France |
| Panel number, Roll of Honour, Australian War Memorial | 14 |
| Miscellaneous information from cemetery records | Native of St. Kila, Victoria |