| Regimental number | 19109 |
| Date of birth | |
| Place of birth | Liverpool, England |
| Religion | Church of England |
| Occupation | Accountant |
| Marital status | Married |
| Height | 5' 6.5" |
| Weight | 148 lbs |
| Next of kin | Wife, Mrs F R Black, Blackrock, Rarotonga, Cook Islands |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Rarotonga |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (2nd Draft), J Company (Unattached Infantry) |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Final rank | Private |
| Final unit | Wellington Infantry Regiment |
| Fate | Died of disease |
| Place of burial | Walton and Weybridge (Walton-on-Thames) Cemetery (Screen Wall, 912), Surrey, England |
| Miscellaneous information from cemetery records | Parents: John Alexander and Anne Black; Wife: Alice Ann Black, Black Rock, Rarotonga, Cook Islands |
| Other details |
War service: Western Front Embarked Wellington, 29 July 1916; disembarked Devonport, England, 28 September 1916, and marched in to Sling Camp. Proceeded overseas to France, 10 October 1916; joined 2nd Bn, Wellington Infantry Regiment, in the field, 23 October 1916. Admitted to No 7 Convalescent Depot, Boulogne, 16 February 1917. Admitted to No 3 Canadian General Hospital, 13 March 1917 (pyrexia, unknown origin); transferred to England, 26 March 1917 (pneumonia), and admitted to No 2 NZ General Hospital, Walton-on-Thames, 26 March 1917. Died of pneumonia, No 2 NZ General Hospital, Walton-on-Thames, 5 April 1917. Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 24 Archives New Zealand (Wellington), Agency AABK, Series 18805 |