| Regimental number | 552 |
| Place of birth | Pennsylvannia USA |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 7 Collier Street, Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Alice Maud Merry Derr, 7 Collier Street, Brunswick, Victoria |
| Enlistment date | 2 May 1916 |
| Rank on enlistment | Able Bodied Driver |
| Unit name | Royal Australian Naval Bridging Train Reinforcement |
| AWM Embarkation Roll number | 34/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A44 Vestalia on 15 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 18th Reinforcements |
| Fate | Returned to Australia 29 May 1917 |