| Date of birth | |
| Place of birth | Melbourne, Victoria |
| Occupation | Medical practitioner |
| Address | 92 Victoria Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Eva W Black, 92 Victoria Street, Carlton, Victoria |
| Enlistment date | |
| 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: |
| Other details | Commanded 7th Field Ambulance, 1916-17. Medals: Distinguished Service Order, 1914-15 Star, British War Medal, Victory Medal |