| Regimental number | 21921 |
| Place of birth | South Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Architect |
| Address | East Melbourne, Victoria |
| Marital status | Widower |
| Age at embarkation | 40 |
| Next of kin | Brother, J.G. Black, Somerset Place, Cromwell Buildings, Bourke Street, Melbourne, Victoria |
| Enlistment date | 25 January 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Company Engineers |
| Fate | Effective abroad (still overseas) |
