| Regimental number | 1742 |
| Place of birth | Yass New South Wales |
| Religion | Church of England |
| Occupation | Drover |
| Address | Bethungra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, William Robert Black, Bethungra, New South Wales |
| Enlistment date | 9 May 1916 |
| Rank on enlistment | Private |
| Unit name | Camel Corps November 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 12 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 3 August 1918 |
