| Regimental number | 1662 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Wireworker |
| Address | Gladesville Road, Hunters Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Brother, S S Black, Gladesville Road, Hunters Hill, New South Wales |
| Enlistment date | 25 May 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on 19 June 1915 |
| Fate | No details of fate entered on Nominal Roll |
