English Translation

-2 8 163 E v i d e n z b l a t. amen pan oue Day, year and place of birth: Belonging: Nationality: Occupation: Education: Status: ( If married number of children) Military rank: Vaffe genus and formation. Special military education (lG shooter, telephone operator, shooter, trumpeter, musician, or radio telephone operator). Awards: Language skills: Is he willing to enter the Czechoslovak army voluntarily if a soeches should be built during the war: fall in France? Exact address: I confirm by my signature the validity of all the above information.