| Regimental number | 1018 |
| Place of birth | Lancefield, Victoria |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | P O Lancefield, Lancefield, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, Sydney T Derrick, P O Lancefield, Lancefield, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, C Company |
| AWM Embarkation Roll number | 23/46/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
