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Application Form
First name: *
Last name: *
Organisation:
Address: *
Zip: *
City: *
Country: *
Telephone:
E-mail: *
Do not fill in anything *
Reason concerning the request: *
I am a survivor
I am a relative of a victim of Nazi persecution
I could assist the ITS with the return of effects because...
Please send further information according the following effects-list entry:
First name 1:
BYSTRA
First name 2:
LEOKADIA
Last name 1:
ROINICWSKA
Date of birth 1:
09.01.1934
Background concerning the request for this effect: *
Attachment:
Validation: *
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