| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | Llandrillo-Yn-Rhos (St. Trillo) Churchyard |
| Grave Reference | Sec. A. Row 7. Grave 17.. |
| Epitaph |
| Phase | 1 |
| Panel Number | 45 |
| Service Number | 1291115 |
| Service | Royal Air Force Volunteer Reserve |
| Group | 6 |
| 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 | Abingdon |
| Day/Night raid | |
| Operation | |
| Reason for Loss | Death not believed to be flying related |