| Place of birth | Mandurang, Victoria |
| Religion | Presbyterian |
| Occupation | Surgeon |
| Address | Studley Park Road, Kew, Victoria |
| Marital status | Single |
| Age at embarkation | 47 |
| Next of kin | Brother, Dr. H A Deravin, Bendigo, Victoria |
| Previous military service | Australian Army Medical Corps Reserves |
| Enlistment date | 15 May 1916 |
| Rank on enlistment | Captain (Medical Officer) |
| Unit name | 39th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 November 1917 |
