| Regimental number | 3042 |
| Place of birth | Portrush, Ireland |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | St John Street, North Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Evelin Mooney Black, 9 Dwyer Street, Claremont, Western Australia |
| Enlistment date | 26 July 1915 |
| Date of enlistment from Nominal Roll | 24 July 1915 |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 18 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 13 December 1918 |
| Sources | NAA: B2455, BLACK Thomas |