STÁTNÍ TAJEMNÍK U ŘÍŠSKÉHO PROTEKTORA V ČECHÁCH A NA MORAVĚ, PRAHA, inv. 1986, sig. 109-6/78 Page 43 · 43 of 67

STATE SECRETARY FOR THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 1986, sig. 109-6/78

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Page 43

English Translation

C Form Carefully fill in surname: First name: Skilled occupation: (possible in Drudscritt) born on: arifch: yes — no Last job: (might be done) Are you a member of the German working front? yes — yes Are you partisan comrade (member of the NSDAP.)? yes — no (invalidity is to be achieved) (means to be fulfilled) I am from: returned. Date of entry: Member No. Local group: (date) (country) The following family friends returned in my company: (the family members who are still abroad must not be specified) Family name First name Birthday Occupation or activity Member of the N.? YES Address Mur für die Zwelgstele! (my boss) (my children) C0a53 (strong relatives) Jch master the following foreign languages perfectly: in word: in writing: Jch dwells jezt: (genane Abrelje: place: Strage, Haustummer)