| Regimental number | 3440 |
| Place of birth | Auckland, New Zealand |
| Religion | Church of England |
| Occupation | Clerk |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J. Black, Prospect Terrace, Mount Eden, Auckland, New Zealand |
| Enlistment date | 16 July 1917 |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Light Horse Regiment |
| Fate | Returned to Australia 22 December 1918 |
