| Regimental number | 7202 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs F Black, Haymarket Post Office, Haymarket, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
