| Regimental number | 54162 |
| Place of birth | Balmain New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Emu Plains, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs T M Black, Henry Street, Penrith, New South Wales |
| Enlistment date | 8 April 1918 |
| Rank on enlistment | Private |
| Unit name | 6th General Service Reinforcements (New South Wales) |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Infantry Base Depot |
| Fate | Effective abroad (still overseas) |
