| Regimental number | 29682 |
| Occupation | Farm hand |
| Next of kin | Father, George Provan, Miner, Naseby, Otago |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 18th Reinforcements, J Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 67 Tofua on |
| Sources | Nominal Roll Vol. 2: Roll 43, p. 17 |