| Regimental number | 7479 |
| Place of birth | Broadmarsh, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 6th, Hobart, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs C S Derrick, 91 Patrick Street, Hobart, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/29/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 40th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Parents: John and Mary DERRICK |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 41 |
| Place of burial | Cornelian Bay Cemetery, Hobart, Tasmania |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
