| Regimental number | 4135 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Naval Depot, Rushcutter's Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ada Victoria Provan, 40 Dudley Street, North Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Family/military connections | Brother: 4134 Corporal Land PROVAN, 30th Bn, killed in action, 18 May 1917. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
