| Regimental number | 1551 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Claremont, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Brother, John M. Derrick, address unknown |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Hawkes Bay on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
