Name: Johannes de Haan
Date and place of birth: 2 November 1895, Drachten
Original address: Fabriekslaan 69, Drachten
Occupation/profession: Timmerman, Gem. Small.
Identity card: geen
Ground for hiding out: arbeidsinzet (A.I.)
District of the LO: Drachten

Other remarks Bijzondere opmerkingen: OT Smilde