| Personal Details |
| Name: | Miss Jacomina Adriana van Rooyen |
| Born in camp? |
No |
| Place of death: | Winburg RC |
| Age died: | 7 years |
| Died in camp? |
Yes |
| Cause of death: | pneumonia |
| Gender: | female |
| Race: | white |
| Marital status: | single |
| Nationality: | Free State |
| Registration as child: | Yes |
| Unique ID: | 30761 |
| Camp History |
| Name: | Winburg RC |
| Farm History |
| Name: | Dorset |
| District: | Bethlehem |
| Sources |
| Title: | RS 30 ORC DL |
| Type: | Death lists |
| Location: | National Archives, Pretoria |
| Reference No.: | RS 30 |
| Origin: | Goldman |
| Notes: | p.260 |
| Title: | Government Gazette of the Orange River Colony |
| Location: | |
| Notes: | 18/10/1901, p.576 |
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