| Regimental number | 52175 |
| Place of birth | Warrnambool Victoria |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Yunndaga, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, H Tissott, Yunndaga, Western Australia |
| Enlistment date | 16 January 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board SS Port Darwin on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 1 June 1919 |
