
| Regimental number | 719 |
| Place of birth | Russia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Woombye, North Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, C M Henningsen, Woombye, North Coast Line, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 2nd Reinforcement |
| AWM Embarkation Roll number | 10/10/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A53 Itria on |