English Translation

Search note (G) Appendix 7 to St 17-101-20 for the Criminal Registry Family name (in the case of women Birth name) : V o r n a m e n (call name to be underlined) : Day: Municipality: Court district: Birth possible District: information Month: Street: Country: Year: Political district: Marital status: single married widow divorced separated Pre- and family (birth) name of (or family) name Former) Spouses: The father's name and surname: The mother's first and birth name: Residence: District: Street and house number: Last place of residence: Status (occupation, trade) : Possible status of the husband: Nationality: Pre-punishment by recordable convictions: no yes -- last in the year The person mentioned above has been missing since that date. Reporting authority: Place and date: Reference number: Signature and seal of service: Information from the criminal registry authority The person sought has been sentenced by the document number on the grounds of being legally valid and is currently in custody, as can be assumed hereafter. Criminal registry: Signature, seal of duty: Place, date: