| Regimental number | 7/1961 |
| Occupation | Farmer |
| Next of kin | Father, J R Black, Otipua, Timaru |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, 9th Reinforcements, Canterbury Mounted Rifles, C Squadron |
| Embarkation details | Unit embarked from Wellington on board SS Maunganui on |
| Sources | Nominal Roll Vol. 2: Roll 21, p. 7 |