| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | West Bromwich (All Saints) Churchyard Extensions |
| Grave Reference | New ground. Grave 1110.. |
| Epitaph |
| Phase | 1 |
| Panel Number | 4 |
| Service Number | 936449 |
| Service | Royal Air Force Volunteer Reserve |
| Group | 6 |
| Squadron | 11 OTU |
| Trade | Ground |
| Country of origin if different | United Kingdom |
| Start Date | 30-11--0001 |
| End Date | 30-11--0001 |
| Takeoff Station | |
| Day/Night raid | |
| Operation | |
| Reason for Loss | Died on active service |