| Regimental number | 2612 |
| Place of birth | Lismore New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs J Elizabeth Black, Mooltan, Milton Street, Ashfield, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
