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*Please indicate how you would like your file corrected (please submit a separate form for each survivor): Add new information/photo Change spelling of names/places Delete incorrect information Indicate person is deceased
*Survivor’s First name:
*Survivor’s Last name:
If Deceased:
Date:
Age:
Birthplace:
Prewar First name:
Prewar Last name:
Maiden First name:
Maiden Last name:
Other First name:
Other Last name:
Town before the war:
Location during the war:
*First name:
*Last name:
*Address:
*City:
*State:
*Postal/Zip code:
*Country:
*E-mail:
Phone:
If you are not the survivor, please indicate your relationship: