| Regimental number | 5312 |
| Place of birth | Zillmere Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Samuel Black, Russell Street, Newtown, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
