| Regimental number | 4828 |
| Place of birth | Warrnambool Vic |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Grasmere, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, W A Henderson, Grasmere, Victoria |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Cyclists' Battalion |
| Fate | Returned to Australia 18 January 1919 |
