| Regimental number | 3317 |
| Place of birth | Modewarre, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Modewarre via Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, John Black, Modewarre PO, Modewarre via Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Pioneer Battalion, Reinforcement 8 |
| AWM Embarkation Roll number | 14/14/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
