| Regimental number | 672 |
| Place of birth | Gympie Queensland |
| Religion | Presbyterian |
| Occupation | Bank accountant |
| Address | Helen Street, Cooktown, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E Black, Helen Street, Cooktown, Queensland |
| Enlistment date | 30 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 3, Reinforcement 12 |
| AWM Embarkation Roll number | 24/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
