| Regimental number | 6042 |
| Place of birth | Portland Vic |
| Religion | Church of England |
| Occupation | Farrier |
| Address | Warrnambool, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Brother, Mark Henderson, Timor Street, Warrnambool, Victoria |
| Enlistment date | 15 September 1915 |
| Date of enlistment from Nominal Roll | 10 September 1915 |
| Rank on enlistment | Sapper |
| Unit name | 5th Field Company Engineers, Reinforcement 3 |
| AWM Embarkation Roll number | 14/24/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia 10 September 1917 |