| Regimental number | 2828 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 38 Droitwich Road, Worcester, England |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Brother, Leonard Tysor, Town Hall, Hammersmith, London, S E, England |
| Enlistment date | 22 February 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance, "B" Section |
| AWM Embarkation Roll number | 26/48/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
