| Regimental number | 878 |
| Place of birth | Rochester, Victoria |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Brinsley Road, East Camberwell |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Wm Black, Brinsley Road, East Camberwell |
| Enlistment date | 15 October 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Field Ambulance |
| AWM Embarkation Roll number | 26/41/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on 2 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Fate | Returned to Australia 17 September 1915 |
