Name: Cornelis Bos
Date and place of birth: 28 October 1896, Hellevoetsluis
Original address: Havenstraat 88, Zaandam
Occupation/profession: Nachtwaker, Algm Nacht veiligheid dienst Amsterdam
Identity card: geen
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: H. van Seijen, A 107, Boornbergum
District of the LO: Drachten
Caretaker: van Seijen