| Regimental number | 1661 |
| Place of birth | Brunswick, Victoria |
| Religion | Presbyterian |
| Occupation | Paper ruler |
| Address | 1015 Drummond Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Father, James Black, L015 Drummond Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
