| Regimental number | 67186 |
| Place of birth | D'Eillham Qld |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | 3 Brighton Street, Petersham, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, J Henderson, 3 Brighton Street, Petersham, Sydney, New South Wales |
| Enlistment date | 3 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 24 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |