| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | Sunderland (Mere Knolls) Cemetery |
| Grave Reference | Ward 28.B. Grave 5272.. |
| Epitaph |
| Phase | 1 |
| Panel Number | 62 |
| Service Number | 1483819 |
| Service | Royal Air Force Volunteer Reserve |
| Group | 5 |
| Squadron | 5 Grp |
| 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 | Died at RAF Wigsley from a subarachnoid haemorrhage caused by a burst aneurysm. |