| Date of birth | |
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | Weston, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs D L Heupt, Weston, New South Wales |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | No 1 Australian General Hospital |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board A62 Wandilla on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Promotions |
Captain Unit: 1st Australian General Hospital Promotion date: |
| Fate | Returned to Australia |