English Translation

II III IV V VI VII VIII IX X XI I Uk-Karte__ Uk.-Station is applied for. l0. Wehrnummer ll. Zustand. Werft von bez.Kdo. (vorlagsberechtige Stelle ) Active duty fulfilled or-shortly completed for long-term training (operation) 12. from 19 to 19. as for (armament part, etc.) li Surname 13. Werkdienstverhältnis 2. First name (callname Wehrmacht part 14. Date of birth Day Mon. year Rez. Called at the 4th place of birth _15. zu - Jetzige Address (field post no.) 5. Apartment (place) House number Reason: Street Marital status 6. 7ahl of children _16. 7. Workbook- 8803 number 8. Skilled occupation information on type of 9. (date) Employment (signature) in the enterprise etc. (Date) (Department) To the Lord Reich Protector in Bohemia and Moravia - Z Pers.I - in Pra g IV Czernin Palais sent with the request for further cause. On behalf: