| Regimental number | 928 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Station clerk |
| Address | Peals, Ferry Road, Hornsby, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Margaret Black, Peals Ferry Road, Hornsby, New South Wales |
| Enlistment date | 8 January 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/6/2 |
| Embarkation details | Unit embarked from Newcastle, New South Wales, on board HMAT A41 Bakara on 22 May 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
