CZERNIN GERTRUD 79012916_3 · 5 of 5
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79012916_3

English Translation

-T= Addendum to Form CM/1 20. Remarks. Use for any additional information. CM/1 Administrative Order No. 29 Comments. Room for additional information 20a. Future Plans / Future Plan No (a) Do you wish to return to your country of former residence? Do you want to return home or to your former place of residence? Wei mtint Heimad wan Rommuristn beseldil. If not, why? If no, why bnhnd Crin No (b) Do you wish to remain in Germany? Do you want to stay in Germany ? No Have you any relative, friends or resources In Germany ? Do you have relatives, acquaintances or other income opportunities in Germany , (c) Do You wish to emigrate to some other country? If so, complete the following: Do you intend to emigrant to other countries , if yes, where? USn Country of first preference Name your preferred countries Do any factors exist which might facilitate your error to this country? Are there any reasons to facilitate your emigration to the country in question? What close relatives have you in this country ? Give addresses, state relationship and where any search relatives are prepared to help you financially or otherwise. What closer relatives do you have in the country in question, give address and degree of kinship; are your relatives willing to support you materially or otherwise? ch hale meine Tamle thlora Carbom e will hin te meim Tarite pR ? 1k Other preferences as'to resettlement and seasons rúm? Do you prefer other countries to emigrate, which and 7 5 X oniph fom aflmic didltuaunvas cthure LD pow German Hu Excluded origin Expelld d Gohud lamin punem 21. (ELIGIBILITY ESPABLASHER hence Signature / Signature seuran NIE A+B () W0 22. PCIRO So Jo S mandate Signature of interrogator 25. Signature O AREA 2 N Control Center papO OFFICIAL 23. or Interviewer's name typed Area Welfare Officer Name of the interrogator in Schrelbmaschinenschrift Signature typed pute Date / Date 24.5-49 Date