Volledige naam | Theo Anne van der Form (ティオ・アネ ブアンム・デル・ファルム) |
---|---|
Nationaliteit | Netherlands (蘭) |
Rang | Brig. Ber. Zoeklicht bedienaar (陸軍 工兵 兵長(現役)) |
Unit | Genie III Bataljon Genietroepen Verl. Gi III |
Stamboeknummer | 95524 |
Plaats gevangename | Tjimahi - Gi III III Bataljon Genietroepen |
Datum gevangename | 17/03/08; 1942/03/08 |
Beroep | water en wegenbouwkundig opzichter |
Vader | A. v.d. Form |
Moeder | Th. A. v.d. Form-v.d Weerdt Kuzma. |
Plaats van herkomst | Leeuwarden (Holland) |
Aankomst rapport | A. v.d. Form, Huizum (bij Leeuwarden) Holland. |
Opmerkingen | pers 83639 |
Kamp 1 | 爪哇17/08/15[03/18]; Java POW Camp 1942/08/15[03/18] |
Kamp 2 | 泰; Thai POW Camp |
Japans 1 | 爪I (ジャワ俘虜収容所第1分所)17004; No.1 Branch Camp of Java POW Camp 17004 |
Japans 2 | 泰III (タイ俘虜収容所第3分所) 9108; No.3 Branch Camp of Thai POW Camp 9108 |
Andere informatie | Departed to be transferred to Thai POW Camp on 29 October 1942; Fell ill on 8 May 1943; Died on [29] 26 May 1943(JA.74 P2493); Died of dysentery at 0:46 on 26 May 1943.(Burial); Place of death: Thambyuzayat POW Hospital of No.3 Branch Camp of Thai POW Camp; Disposal of remains: Burial. Buried in Thambyuzayat Cemetery(JA.74); (昭和17年10月29日泰俘虜収容所へ移管のため出発す; 昭和18年5月8日発病; 昭和18年5月[29]26日死亡(JA.74 P2493); 昭和18年5月26日赤痢にて死亡す(土)0時46分; 死亡場所: 泰俘虜収容所第3分所タニビザヤ俘虜病院; 屍体処理: タンビザヤ墓地に埋葬(JA.74);) |
Andere informatie | Form, Theo A. van der; 117 |
National Archives, PoW cards
Min. van Binnenl. Zaken: Stamboekgegevens KNIL-militairen met Japanse Interneringskaarten 1942-1996, Den Haag, archive 2.10.50.03, inventory number 428
This data was last updated on October 25, 2018 by the source holder and first published on Open Archives on July 3, 2014.
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