| Regimental number | 57981 |
| Place of birth | Queenstown Tasmania |
| Religion | Presbyterian |
| Occupation | Clerk |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J T Provan, Clifton, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Machine Gun Battalion Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
