| Regimental number | R1504 |
| Religion | Baptist |
| Occupation | Factory hand |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, G M Black, 62 Mary Street, Kew, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Regimental number from Nominal Roll | 1504 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Died of wounds |
| Miscellaneous details (Nominal Roll) | *Second entry |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
