| Regimental number | 2771 |
| Place of birth | Tyrone, Ireland |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Cororooke, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Mary Ann Black, Terrywine, Cookstown, County Tyrone, Ireland |
| Enlistment date | |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 38th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/55/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | 2771B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia |
| Sources | NAA: B2455, BLACK Samuel |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
