| Aircraft | |
| Serial Number | |
| Markings |
| Burial/Memorial Country | United Kingdom |
| Burial/Memorial Place | Oxford (Rose Hill) Cemetery |
| Grave Reference | Sec. J.2. Grave 115.. |
| Epitaph |
| Phase | 1 |
| Panel Number | 84 |
| Service Number | 754061 |
| Service | Royal Air Force Volunteer Reserve |
| Group | 7 |
| Squadron | 17 OTU |
| Trade | Observer |
| 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 |