| Regimental number | 2684 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs S M Black, 40 Caledonia Street, Paddington, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A22 Rangatira on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
