| Regimental number | 19143 |
| Occupation | Labourer |
| Next of kin | Father, C Henriksen, Omata via New Plymouth |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 15th Reinforcements (2nd Draft), J Company (Unattached Infantry) |
| Embarkation details | Unit embarked from Wellington on board Ulimaroa on |
| Sources | Nominal Roll Vol. 2: Roll 37, p. 25 |