English Translation

(Din A 5) Attachment to point A I 2 (3rd sentence) 55a Model of the permanent sea search. Front page Go /me State Police Statebolizei(lead)station (place) B.No. (b) the State Criminal Police Department (the commander of the security police and the SD) in order to be admitted to the criminal investigation register and to carry out the investigation in the home territory. +)e) the State Criminal Police - Criminal Police Head Office in order to be included in the search file and to carry out the investigation in the externally indicated mitigating place of residence. On order: to be completed in case of need. Form A V reverse. Permanent sea searcher (family name; for women also birth name) (first name; name undercut) née: in: circle: Last residence in former Poland: county: ,district (reg.): Polish civilian worker has left the workplace in circle: unauthorized. He (you) may stay in. Local search operations are initiated. Distributor and address on the side. 98675