| Regimental number | 67187 |
| Place of birth | Camperdown New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 290 New Canterbury Road, Petersham, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, R F Henderson, 290 New Canterbury Road, Petersham, Sydney, New South Wales |
| Previous military service | 5th Battalion 4th Infantry |
| Enlistment date | 5 September 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 |
