Name: Jan Bosma
Date and place of birth: 24 August 1907, Suameer
Original address: Beter Wonen 42, Drachten
Religion: Geen
Occupation/profession: Stucadoor
Identity card: geen
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Beter Wonen 42, Drachten
District of the LO: Drachten