| Service No: | 05210935E |
| Rank: | Rank Unknown |
| Last Name: | DOMAN |
| First Name: | NICHOLAAS JACOB |
| Initials: | N J |
| Born: | Unknown |
| Date of Death: | 1965-11-14 |
| Age at Death: | 34 |
| Cause of Death: | Died of bronco pneumonia and cerebral oedema, at 1 Military Hospital, Pretoria |