English Translation

100 196 Order form issued by the Chief of Labour and SD. No. 31/42 Annex B ......, which ............. 194. (Employment Authority) (Trademarks Indication of the recruitment of a retired official pursuant to Sections 5 to 8 of the Second Regulation on measures in the field of civil servants' rights of 3 May 1940 (RGBl. I p. 732). I. Personal and previous official duties of the retired official. Surname and forename: ... Last position: ... . Bes. group: . . .. Birthday and year: .. Marital status: .... Children: .... .. (born: ..... . . (born : ... ..(born: ... ..... ................ Current place of residence: Street: ... Retired on . .19 because of: . Last employment authority : .. Type of last employment: . II. Employment relationship. The retirement official is used in the administration.*) Enforcement.*).Service as: Bes.-Gr. (Remote official) . Verg.-G.: ............. (Employee) with the official title: The retirement officer is considered as a substitute for: (Official title of the (Name) (Stay) Service capacity after finding the doctor: The explanations according to section C para. 3 no. 2a to f of the circular of 8 July 1940 (MBliV. 1459) are not yet delivered*). (Signature) *) Delete as appropriate.