
| Date of birth | |
| Place of birth | Melbourne, Victoria |
| Occupation | Medical practitioner |
| Address | 92 Victoria Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Height | 5' 10" |
| Weight | 206 lbs |
| Next of kin | Wife, Mrs Eva W Black, 92 Victoria Street, Carlton, Victoria |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | 6th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Lieutenant-Colonel |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette', 4th Supplement, No 29644 (11 July 1916); 'Commonwealth Gazette', No 176 (30 November 1916. |
| Fate | Returned to Australia |
| Medals |
Distinguished Service Order Source: 'Commonwealth Gazette' No. 57 Date: |
| Discharge date | |
| Other details |
War service: Egypt, Gallipoli, Western Front Wounded in action, Gallipoli, 15 May 1915 (shrapnel wound, knee). Embarked Alexandria to join the British Expeditionary Force, 17 June 1916; disembarked Marseilles, France, 25 June 1919. Mentioned in Despatches, 11 July, 30 November 1916. Promoted Lieutenant Colonel to command 7th Field Ambulance, 20 November 1916. Commenced return to Australia via the United States, 23 December 1917; appointment terminated, 25 February 1918. Medals: Distinguished Service Order, 1914-15 Star, British War Medal, Victory Medal. Also served in World War II: Service No VX114275. |
| Date of death | |
| Age at death | 64 |
| Place of burial | Victorian Garden of Remembrance, Springvale, Victoria |