| Regimental number | 51114 |
| Place of birth | Bathurst New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Nambucca Heads, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, J Henderson, Valla, Nambucca Heads, New South Wales |
| Enlistment date | 11 December 1917 |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 18 January 1919 |
