Date of birth: |
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Place of birth/district: |
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Sex: |
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Religion: |
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Nationality: |
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Marital status during wartime (please underline)
single |
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married |
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widowed |
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divorced |
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Name and first name of father: |
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Name and first name of mother: |
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Name of marriage partner: |
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Year of marriage: |
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Last known adress before arrest:
Last information: place? |
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when? |
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