| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | Newport (St. Woolos) Cemetery |
| Grave Reference | Block 80. Grave 103.. |
| Epitaph | THEY SHALL GROW NOT OLD AS WE THAT ARE LEFT GROW OLD (Poem - For the Fallen by Laurence Binyon) |
| Phase | 1 |
| Panel Number | 8 |
| Service Number | 984734 |
| Service | Royal Air Force Volunteer Reserve |
| Group | 91 |
| Squadron | 10 OTU |
| Trade | Ground staff |
| 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 |