| Regimental number | 6358 |
| Place of birth | Pambula New South Wales |
| Religion | Church of England |
| Occupation | Surveyors |
| Address | Merrimbula, South Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, G Black, Merimbula, South Coast, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Other details from Roll of Honour Circular | Born on 4 February 1894. Enlisted 26 November 1915. Taken on strength, 1st Bn, 13 February 1917. Wounded at Broodseinde, Belgium, 4 October 1917. |
| Fate | Killed in Action |
| Place of death or wounding | Hazebrouck, France |
| Date of death | |
| Age at death | 24 |
| Place of burial | Outtersteene Communal Cemetery Extension (Plot II, Row F, Grave No. 5), Bailleul, France |
| Panel number, Roll of Honour, Australian War Memorial | 28 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |