| Regimental number | 2813 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 20 Ross Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J Black, 20 Ross Street, South Melbourne, Victoria |
| Enlistment date | 18 August 1914 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column No 3 Section |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 20 October 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 4 December 1915 |
