| Regimental number | 3/2744 |
| Occupation | Clerk |
| Next of kin | Mother, Mrs C Buxton Black, 9 Mulgrave Street, Thorndon, Wellington |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 22nd Reinforcements, New Zealand Medical Corps |
| Embarkation details | Unit embarked from Wellington on board HMNZT 76 on |
| Members of the New Zealand Medical Corps, 22nd Reinforcements, embarked on two ships, 'Mokoia' on 13 February 1917, and 'Navua' on 16 February 1917. Those listed on Nominal Roll No 54 embarked on board HMNZT 'Mokoia', 15 February 1917. For those listed on Nominal Roll No 55, it is not possible to determine on which ship an individual embarked. | |
| Final rank | Private |
| Final unit | New Zealand Medical Corps |
| Fate | Died of wounds |
| Age at death from cemetery records | 20 |
| Place of burial | Lijssenthoek Military Cemetery (Plot XXI, Row H, Grave No 7), Belgium |
| Miscellaneous information from cemetery records | Parents: Sydney and Constance Buxton Black, Weston |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 3: Roll 55, p. 26 |