| Regimental number | 9136 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Tram driver |
| Address | Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E J Lopez, 2 Spicer Stret, Woollahra, New South Wales |
| Enlistment date | 2 March 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London, and Special Reinforcements (Feb 1915 - March 1916) |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A63 Karoola on 1 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 17 March 1919 |
