12120657_6

English Translation

Admission examination (No. 43 VollzO.) Name: Jumbampl Gyermn 1. Information about health defects, diseases and abnormalities in parents, foreparents, siblings: O. B° 4. Physical findings: 2. Information about own health defects and diseases experienced in the past and (in particular in the early youth in Kramglaten): Sud fuit aeb de. 1936 Supbnndteriy. 1e Weight: kg goif 192 U Heftrand 5. Mental and mental characteristics: 3. Information on the current state of health: wi an o lej. 6. Improper? If yes, to what extent? 3 7. Suitable for solitary confinement? If no, why not? ne' 8. Need medical treatment? If so, to how far? 9. Can you work? To what extent is it possible to work outside? Moor working? Soud oall erhesfity. Se 10. For physical exercises suitable? Mhi. 11. His condition dangerous because of others? 的2.2- 19.42. Bumbenbang (Banel)Görben den Rauhar. Name: . Rogizrungsmebisinalen Official designation: Anstaltsdruckerei Waldheim (Sachs). VollzO. A 31 Recording examination 04000 K 0906