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BUCHENWALD, near
Weimar, Thuringen,
Germany |
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MILITARY
GOVERNMENT OF GERMANY
Fragebogen fur Insassen der
Konzentrationslager
Questionnaire for Inmates of the Concentration Camps
(see the questionnaire for Vaclav
Pisinger on the right)
- Name of
Concentration Camp
- Date
- Location
- Name of Inmate
- Last Name, First
Name
- Sex
- Date of Birth
- Nationality
- Religion
(Admitted Faith)
- Home Address
- Occupation
- Date of Arrest
- By Whom
- Place of Arrest
- Reason for
Arrest
- Charges Made
- Court Trying
Case
- Names of Judges
- Sentence
- Place of
Detention Giving Dates
- Give particulars
of confinement including any inhumane treatment
with dates, reasons, and names of perpetrators,
if known.
- Positions held
during confinement
- Have you ever
belonged to the Nazi Party or any of its
affiliated or subordinate organizations?
- If so, list
organizations, dates of membership and positions
held.
- List periods of
military service giving organizations and dates
as well as ranks held.
- List any facts
indicating anti-Nazi attitude or activities.
- List any
employment by governmental or Nazi Party
agencies, giving nature of duties and method of
appointment.
- Were you
deferred from military service?
- When? Why?
- Were you ever
convicted of any criminal offense?
- If so, give
date, count, sentence, offense and date of
release in each case.
- If released from
detention, where do you intend to go?
- Give names and
addresses, if known, of three reliable persons
living in the locality where you intend to go,
who can vouch for you.
- Signature
- Decision of the
board
- Final
disposition of inmate
- Signature of the
Presiding Officer of the Board
- Rank/Branch of
the Board members
- Date
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