| Regimental number | 1984 |
| Place of birth | Toowoomba Queensland |
| Religion | Presbyterian |
| Occupation | Stockman |
| Address | King Street, Clifton, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, James Thomas Provan, King Street, Clifton, Toowoomba, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 14th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
