| Regimental number | 6028 |
| Place of birth | Wangoom Vic |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Illabo Post Office, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Brother, J Henderson, Address Unknown |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 1 November 1917 |