Name: Theodoor van Balen
Date and place of birth: 7 March 1915
Original address: Oeverdwarsstraat 15, Leeuwarden
Occupation/profession: Bankwerker, -
Status identity card: onbekend/niet vermeld
Ground for hiding out: arbeidsinzet (A.I.)
Hiding address: Irnsum
District of the LO: Leeuwarden
Caretaker: - Vergnest

Other remarks Achterkant beroep: Bankwerker
Achterkant naam werkgever: -