| Regimental number | 425 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Durban, Port Fairy, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Brother, F Derbyshire, Durban, Port Fairy, Victoria |
| Enlistment date | 21 August 1914 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, C Company |
| AWM Embarkation Roll number | 23/22/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A3 Orvieto on 21 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 27 September 1917 |
| Date of death | 11 November 1940 |
| Place of burial | Cheltenham Memorial Park Cemetery |
