| Regimental number | 3231 |
| Place of birth | Norwood, South Australia |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | North Street, Frewville, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Grant Black, Alexandra Avenue, Rose Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 48th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
