English Translation

4 10.71950 Department! Service slips Grewing Service Date To the Federal Ministry of the Interior -Abt. 2 in Vienna Information from the above mentioned documents is requested about Czernin Alexander surname Jmy maiden name First name 30.4.1913 Wim, 3 Metterminhp 10/4 Geb.-Daten Occupation residential address St. Dr. Lager-Nr. 22. - Osterreichische Staatsdruckerei, Verlag. (St.) 5581 47 Purpose of the request: 232.006. ? Fill in framed parts. Complete personal data required. Use typewriter or block letter. File note In the Gauakt (GSA) No.: was inspected by S of the department. Further cause, in particular agreement of the registration authority, concerned the designated department. Vienna, at Schebesta (signature of the inspecter)