| Regimental number | 1667 |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Scone, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Frederick Tisle, Ameroo, Scone, New South Wales |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Miscellaneous details (Nominal Roll) | missing page |
