| Religion | Presbyterian |
| Occupation | Naval officer |
| Address | 'St Armands', South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Beatrice Addis-Black, Union Bank, Cornhill, London, England |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Lieutenant |
| Unit name | Royal Australian Naval Bridging Train Reinforcement |
| AWM Embarkation Roll number | 34/12/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
