| Regimental number | 3591 |
| Place of birth | Camden New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | 'Tyne', Warner avenue, North Bondi, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Tom Black, 'Tyne,' Warner avenue, North Bondi, Sydney, New South Wales |
| Enlistment date | 16 May 1917 |
| Date of enlistment from Nominal Roll | 18 April 1917 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 32nd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Regiment |
| Fate | Returned to Australia 27 June 1919 |
