English Translation

26 Were you at work? From: to: Do you enjoy your work? no Military service: 11.00 to: Dismissed with what rank: War service: from: to : Free Corps: e from: till: Awards: Less rank: Did you belong to a Masonic lodge or any other dissolved association? (Rotary club, religious order or sect)? no Which one? :uoa to: Political career (Exact information about membership of parties and associations with political attitude): Party Offices: Was the membership shash interrupted? from: to:and why? Are you pre-punished? (If yes, detailed D no police leadership certificate and a Vassasbild Jch assure to Eides Instead, I can present the Na my chiefran — at any time. To request the 2 at any moment. I hereby assure you that I have truthfully provided the above information, and that if any unfaithful information is found, my service relationship with it would be cancelled. Prague II. , ben 19.April 19 39 Hans Heinz Stuckenschmidt e.h. Signature.