| Regimental number | 454 |
| Place of birth | Bundaberg Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Hellena Black, Stewart Street, North Bundaberg, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 6 |
| AWM Embarkation Roll number | 24/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |