THE SECRETARY TO THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 408, sig. 109-4/153

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English Translation

Which guarantors can you give for your commitment to German folklore? 1. Name....... ...Apartment... ..Apartment.... 8. Number of children:elfoV nedoetveb 1. First name.......born.........Reknowledge .Mother tongue 2. 11 3. + 4: 11 11 11 5: 11 "1 T1 6. 7 T1 7. meb "1 9. Which schools did your children attend before the 1.9.39? a) German (exact name of the school genus)............ (b) Polish (exact designation of the 3chulgent).....10. I have always known myself about the German people, also before the 1.9.1939. I know that in case of false information except for the German Volksgemeinschaft. If this declaration cannot be made, all reasons for this must be stated. 11. I assure you that I have answered the above questions truthfully. I know that I will punish myself in case of deliberately false information. necaeimlor ......., den..........19... 896 OF med mov la nedrädeg weu dezazlniet .6 (self-hand signature) __===_==== 833333 - Free for examination note: ngode debddeo Sr dod dedolftteroatrhw,netaitabfed bnol-atnsnäiea) dsgnuafotreV nedofel Berdl bnurtus ela nerew (.wen nez 91283 (oarsV negnelietdosnéa Ttsdeaeges mudax qenseop mus eeaatatnnedod