| Regimental number | 35849 |
| Occupation | Labourer |
| Next of kin | Father, J F Derrick, Trades Hall, Auckland |
| Rank on embarkation | Trooper |
| Unit name | New Zealand Expeditionary Force, New Zealand Mounted Rifles, 23rd Reinforcements |
| Embarkation details | Unit embarked from Wellington on board Moeraki on |
| Sources | Nominal Roll Vol. 3: Roll 58, p. 1 |