Name: Jacominus Sjoerd van der Werff
Date and place of birth: 13 October 1912, Dokkum
Original address: Dirck Raphaelsz. Camphuysenstraat F 163, Dokkum
Religion: Doopsgezind
Occupation/profession: Banketbakker, J. Smits, Lageweg Dokkum
Identity card: echt
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Wed. C. Haverschmidt, Noordkade 45, Drachten
District of the LO: Drachten
Caretaker: Wed. C. Haverschmidt, Drachten, Noordkade 45