CZERNIN GERTRUD 79012916_2 · 4 of 5
79012916_2

English Translation

− 9 − y − 17. Documents (list all in family's possession including birth and marriage certificates, passports, identity, employment, 14. Financial Resources (for all members who have any present resources) ration cards, affidavits, statements of witnesses, etc.) Assets (to be filled out by family members who currently have such assets) Documents (here are all those owned by the family, incl. Birth and marriage certificates, passports, knowledge;, work, ration cards, affidavits, testimonies, etc.) Which member Type of family Properly S (land buildings etc.).Value Location of Property pahsa Won A Which property Type: Value Location of property Which member (Organization or individual) on co Dale Ty pe Place of Issue Famillenmember (Land Buildings etc.), issued by whom family date Type Place of exhibition (Organisation or 1 II III IV V member Privalperson) Cash cash (What currency) Amouni - Amount Where kepl II III I IV I y (In which valuta) Where findable I Poleeraut 9h1x .fennK.WB.10200.ETTL/N9 /5. \.46 frops60114nfimg10 Mod Income Ce Ra Amount - Amount Where and from who Income (In which value) per per received 2..4b Fult.Asmerb byyse Vhech Flitall leu, Where and by whom receive Aletunt drbertaunt ETTlimn 1. 8.44 Assistance from (Parcels, money relatives orders, cash, elc.) Location of relative support (packages, funds, money residence of relatives (e pre- de de de cea se d d cr do dee p de se on the part of relatives) Organizations to which family members have belonged (political, religious, social, before and after the war) Purpose - Purpose Which member of family Date Name (Social, political), - (social, political) Which family member Date Name Religious etc. - Religious, etc. 15. Relatives (any who are closely related or with who family wishes to be reunited; list all relatives of unaccom- I Il III IV ee pa Related (all close relatives or those with whom the family wishes again to be united; all relatives unaccompanied children must be indicated) AA Full name Soee ces Relationship (including assembly centre) Full name Kindness Full address including bearing address I II III 19. Present address of family — Current address of the family Town or cily Country Date Street address or name of camp Date Street or camp name Stadi Staal Au.v.19 Il II IV Gutvergartour.1ETTLiNbEM Heutotlont 15a. Prospective employees or friends who might be of assistance to apply (names and addresses) Expected employers or friends that could provide assistance to the applicant (name and addresses).16. Assistance (including care and maintenance in assembly center) Support (including support in the camp) 19a. For unaccompanied child living in Foster family the names of Foster parents. a) Has any member of family being receiving assistance from UNRRA: Yes _ No et eede der d dar d ce den dr n sareee d Has a family member received support from UNRRA?: Yes No IGCR: Yes__ No _: from a Voluntary Agency: Yes & No IgCR: No: from an Volunteer Agency: yes No b) If assistance has been received, number of months If support has been granted, how many months? c) If cash received, regulary, irregulary, amount __ per case Cash received, regularly. irregular, amount per d) If assistance received from a Volunteer Agency, the name of the Agency Falls was obtained from a Voluntarv Agency support, from which?