| Regimental number | 2669 |
| Place of birth | Mt Torrens South Australia |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Corangamite Street, Colac, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, G Henderson, Sheppard Street, Daylesford, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/39/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 27 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 24 January 1918 |
