Name: Ate Bloem
Date and place of birth: 7 March 1910, Oenkerk
Original address: Het Noord 12, Drachten
Occupation/profession: Arbeider, Ned Tramw Mtschpij
Identity card: gewijzigd
Ground for hiding out: staking
Hiding address: 227, Langezwaag
District of the LO: Drachten