| Regimental number | 6035 |
| Place of birth | Cooma New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Windsor, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W H Haxby, Commercial Bank, Windsor, New South Wales |
| Enlistment date | 23 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 6 July 1919 |
| Miscellaneous details (Nominal Roll) | *Gomm spelt Gamin |
