| Regimental number | 7544. |
| Place of birth | Kent England |
| Religion | Methodist |
| Occupation | House steward |
| Address | 23 Moncur Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs H Derward, Ashford West, England |
| Enlistment date | 19 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Miscellaneous details (Nominal Roll) | missing page |
