| Regimental number | 3778 |
| Place of birth | Swan Hill, Victoria |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bulga, via Swan Hill, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Derham, Swan Hill, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Killed in Action |
| Age at death from cemetery records | 19 |
| Place of burial | Pozieres British Cemetery (Plot IV, Row M, Grave No. 8), Ovillers-La-Boisselle, France |
| Panel number, Roll of Honour, Australian War Memorial | 43 |
| Miscellaneous information from cemetery records | Parents: Andrew and Catherine Mary DERHAM, Swan Hill, Victoria |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
