| Aircraft | Vickers Wellington IC |
| Serial Number | X9639 |
| Markings | BH-E |
| Burial/Memorial Country | Germany |
| Burial/Memorial Place | Reichswald Forest War Cemetery |
| Grave Reference | . |
| Epitaph |
| Phase | 1 |
| Panel Number | 120 |
| Service Number | P.780217 |
| Service | Polish Air Force |
| Group | 1 |
| Squadron | 300 (Masovian) |
| Trade | Air Gunner |
| Country of origin if different | Poland |
| Horak A (Sgt) |
| Jakimowicz W Z (P/O) |
| Sloma M (F/S) |
| Srzednicki T (P/O) |
| Start Date | 25-07-1941 |
| End Date | 26-07-1941 |
| Takeoff Station | Hemswell |
| Day/Night raid | Night |
| Operation | Hamburg |
| Reason for Loss | Shot down by flak near the target |