| Regimental number | 4875 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Bothwell, Tasmania |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, Mr C Sims, Bothwell, Tasmania |
| Enlistment date | 6 October 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 18 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 25 January 1919 |
