English Translation

2025 (1) REGISTRaTioN Na. A.E.F. D.P. REGISTRATION RECORD For coding purples h918lh Original B.C. D E H. Duplicate 1. J. 4714 C2ERNIN M. - Single Married P04-JE4 'a X Widowed Divorced (2) Family Name Other Given Names (3) Sex 4 Marital Status () Claimed Nationality 8161 Ssy L0D2 POGAND HS!H3T -mo go da (8) panying Family 0 (9) Birthdate Birthplace Province Country (7) Religion (Optional) Members: (9) Jo daqn TIONIW .NNIIW MAJEROKIC2 ESTERS Dependents: (10) Full Name of Father (11) Full Maiden Name of Mother ed NOLVNIS GIS (ZL) (13) LASt PErManent RESidenCE orR RESIdenCe JANGARY 1, 1938. Zeo+ PO4AND City or Village Province Country City or Villisge CC Country Joge DressnaRer (14) Usual Trade, Occupation or Profession (15) Performed in What Kind of Establishment (16) Other Trades or Occupations (18) Do You Claim Jid0.ol.. to be a Pris- f. one of War o (17)Languages Spoisen in Order of Fluency Yes (19) Amount and Kind of Currency in your Possession (20) Signatures (21) Signatures Assembly m of Registrar: of registrar: Date: Center No. (22) Destination or Bad mompm ee Name or Number BA J0 ATO Province Country (23)Code 1 2 8 4 5 6 8 2 0I 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 for Issue e (24) REManKS 6mip. to J1racd a 26.-s0.5.49.2.grr. I3 DP-2 T-18288-01