| Regimental number | 3607 |
| Place of birth | Carlton, Victoria |
| Religion | Roman Catholic |
| Occupation | Driver |
| Address | Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs M Black, 'Kyarra', Smith Street, Thornbury, Victoria |
| Enlistment date | 15 September 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 15 January 1919 |
