English Translation

Appendix 3 to St 17-101-25 11. Place of suicide or the discovery of the suicide (in rural areas below or where the possibility of an accident or suspicion of killing by a foreign hand is present and Z u F ra g e 7: For general information, such as "workers", "Kaufmann" and others. For general information, especially without the triggering cause, it is necessary to refer to sellers in the colonial goods business. For general data, particularly without the cause of the loss of the wife, not 'fearing', but 'fee of judicial punishment due to ill', as well as, if possible, the nature of the disease (melancholy, malaise of persecution, etc.) Z u F a g e 11: In particular, the name and location of the institution must be stated when it is transferred to institutions. (Signature of the person who completes) avoid; e.g. not 'economic conditions', but 'economic emergency hour insurance company', etc. If still, alive transferred to another place? Where and when died? Name, date of birth and place of residence of the suicide or other suicide:. 1A time of day 13. (a) Was he currently unemployed or unemployed and since when? (c) Did he have needy relatives whose support he was? To avoid attention!; instead, "cigarette factory workers, travellers of a cloth factory", "Director of a 15th Only in case of common suicide of several persons: (place and date of completion of the counting card.) 14. (d) How many unscathed children are there? Addition of the name of the community): 12. Time of execution of the suicide: month b) Was it quite destitute? indicate. SEJ in what way? or improvement institutions, education, (in case of suicides of children etc.) Here is the occupation, occupation and occupation of the (whether hanged, suffocated and what? shot and with what weapon? drowned and in what conjecture or certain cause to suicide? (Movement reason, cause, see Rüek turns! 6. Marital status: Single - Married — Widow — Divorce - Separated — Unknown. * 8. Only in the case of student suicides: Which school and school class were last attended? Year for suicides of male persons. (For inmates of public institutions, e.g. prisons, prisons-healing, nursing and care institutions, poor and orphanages, religious institutions, etc.) The institution is to be described precisely.) 7. Type of occupation or occupation and occupation of the suicide killer: District: Understand what is true. Underscore what is correct. Counting card Type of suicide with indication of the suicidal remedy: front month Waters? poisoned and with what poison etc.?) 1% 3. Time and place of birth of the homicidal: Department: 1. Name of the murderer? Railway station or railway line: 5. Nationality: page ,to question 10, to indicate SeL father.) Political district: Railway direction: Place of birth: Bergrevier:_ 2. Place of residence? 4. Religion: Country: 9 0