| Regimental number | 104 |
| Place of birth | Durham England |
| Religion | Church of England |
| Occupation | Drover |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, Thomas Cowan Black, Newcastle-on-Tyne, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A47 Mashobra on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
