| Regimental number | 1306 |
| Place of birth | Wellington, New Zealand |
| Religion | Church of England |
| Occupation | Ship's steward |
| Address | 139 Manners Street, Wellington, New Zealand |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Black, 139 Manners Street, Wellington, New Zealand |
| Enlistment date | 23/11/1194 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 2 February 1915 |
| Regimental number from Nominal Roll | 2191 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 8 November 1918 |
