Edward van Hootegem completed his officer training in 1931 and began his career as a second lieutenant. At the outbreak of the Second World War, he served as a first lieutenant in the Royal Guard. During the German occupation, he was taken prisoner. From 1942 to 1944, he was held in a German POW camp in Stanislau (now Ivano-Frankivsk in Ukraine).
In early 1944, Van Hootegem managed to escape from the camp together with several other Dutch officers. In the Carpathian Mountains, they temporarily joined a unit of the Ukrainian resistance (UPA). With their assistance, the escaped soldiers reached Hungary and subsequently travelled via the Soviet Union and London, ultimately returning to the Netherlands in November 1945.
After the war, Van Hootegem became an instructor at the Dutch Staff College. He later advanced to head of the institution, a position he held for many years. His military career reached its peak when he became an army corps commander with the rank of lieutenant general. He retired from the army in 1967.
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