| Regimental number | 1791 |
| Place of birth | Newcastle-on-Tyne England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o P Carney, Main Street Railway Estate, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Brother, Cpl Henderson, 19th Btn, 5th Inf Bde, AIF |
| Enlistment date | 30 January 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A15 Star Of England on 8 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 22 July 1917 |
