| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | Newark-Upon-Trent Cemetery, Polish Plot |
| Grave Reference | . |
| Epitaph |
| Phase | 1 |
| Panel Number | 63 |
| Service Number | P.780889 |
| Service | Polish Air Force |
| Group | 93 |
| Squadron | 18 OTU |
| Trade | Ground |
| Country of origin if different | Poland |
| Start Date | 30-11--0001 |
| End Date | 30-11--0001 |
| Takeoff Station | Bramcote |
| Day/Night raid | |
| Operation | |
| Reason for Loss | Died in RAF Rauceby Hospital. |