| Regimental number | 3 |
| Place of birth | Mansfield, Victoria |
| School | Nillahcootie State School, Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | c/o Mr R Morgan, Central Avenue, Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Thomas Black, Molesworth Railway Station, Molesworth, Victoria |
| Previous military service | Served with the Royal Australian Garrison Artillery, Sydney, NSW, and Fremantle, WA. |
| Enlistment date | |
| Rank on enlistment | Orderly Room SGT |
| Unit name | 11th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A11 Ascanius on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Killed in Action |
| Place of death or wounding | Amiens, France |
| Date of death | |
| Age at death | 30 |
| Age at death from cemetery records | 30 |
| Place of burial | Heath Cemetery (Plot IV, Row J, Grave No. 6), Harbonnieres, France |
| Panel number, Roll of Honour, Australian War Memorial | 91 |
| Miscellaneous information from cemetery records | Parents: Thomas and Margaret BLACK, Molesworth, Victoria. Born at Mansfield, Victoria |