English Translation

ind Name: ., Fill in with machine! ensthezeichnung: ... ..Prague,den ....... ilung /Division : hiort and apartment : ........... Perszeichnis Nr. I ask for the issue of a toll-free pass to the wie.. ,..months in connection with the service card journey - passport-passport-passcard-children's card No. issued on..........from in a) for myself. Given, on .....in .............district: ..... Reisozweek. ....... .... I own the German Reichsangehörigkeit . ) are relatives of the German Peichsar and live in the Protectorate : Nune and first name: .... ..Kreis:. Woancrt und Wohnung : ... Relationship or position in the household : .. Purpose of travel : . . . the applicants ... belong to the division of the German State Ministeriuns; he/she receives his/her remuneration from the Oberkasse ir Hause.The identification document has been presented to me - is attached. (c)for the following person who does not belong to the authority of the German Minister of State for Bohemia and Moravia and who has to travel on behalf of the Deutsche Staatsminister for official reasons in the above-mentioned period : First and last name : ..... geb. am .....i2. Kreis.i.. Place of employment or occupation : Place of residence and dwelling ( exact ) : Purpose of travel : . . . State authority : .. /Seal/ Signature of the Head of Department or to the Ministry of State of Bohemia and Moravia, which is responsible for the departmental affairs of the Czech Republic and Moravia - 8 IV.,Czernin-Palais,Room 343