| Regimental number | 42021 |
| Occupation | Prison warder |
| Next of kin | Father, George Black, Greystone, Carmyille, Arbroath, Forfarshire, Scotland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 24th Reinforcements (1st Draft), E Company |
| Embarkation details | Unit embarked from Wellington on board Devon on |
| Sources | Nominal Roll Vol. 3: Roll 59, p. 13 |