| Regimental number | 7201 |
| Place of birth | Scarborough New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner and fitter |
| Address | Clifton, Illawarra, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Black 30 Barlow Street, Liverpool, England |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Discharged 11 October 1919 |
