| Regimental number | 2813 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 20 Ross Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J Black, 20 Ross Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column No 3 Section |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
