| Regimental number | 4662 |
| Place of birth | Gympie Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Clara Black, Coates Street, Mount Morgan, Queensland |
| Enlistment date | 8 April 1915 |
| Date of enlistment from Nominal Roll | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 20 May 1919 |
