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Alter Existing Registry Files


Fields marked with an asterisk (*) are required.

Download form (PDF) to fax or mail, or submit this form online.
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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:

 

Names

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:


Your current address

*First name:

*Last name:

*Address:


 

*City:

*State:

*Postal/Zip code:

*Country:

*E-mail:

Phone:

 

If you are not the survivor, please indicate your relationship: