| Regimental number | 3539 |
| Place of birth | Morwell, Victoria |
| Religion | Church of England |
| Occupation | Stock agent |
| Address | Morwell, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, George Derham, Morwell, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 31st Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Regimental number from Nominal Roll | 3539A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
