NAA: A12002, 122-124

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NAA: A12002, 122-124
Series number: A12002
Control symbol: 122-124
Barcode: 4256279
Number of pages: 46
DOLNIK Hawryloborn 14 December 1914; Lili born 28 April 1925; Georg born 9 April 1948
rnocssslfic csuns A 51' “(>7904 mo AREA Oi-FICEAUSTRALIA FALLING BOSTEL(Dir fFAM|;.%4c|lursName (Blacks) P Chrlstlan NamesD ,;LN]_K Haw'r;rl¢. L1Sex Date of Birth DP Card No.14.12.1914 179%;Nationality
claimed-1 Q lish UkrsiinianTechnlcalTradeEducation 4/ 1'4? '4“ '[ 4'Primary 3 f/3'5 SecondaryUniversityDegreesLanguages (uency) y _ N;English . _ German ., H.Russian 4! ..Others ._,. Documents .. Birth (Chlltlren) Original
Passport No. .. .. Divorce __..... . . .. .. . Death .. l.R.O. Eligibility Address oi Relatives or Friends In Australia Religion:15 ‘bibl . 0* th-Dependants whom applicant wishes (a) to accompany him to Australia(b) to proceed to
Australia laterGage, M $443 . " - Bonn". .M “ m‘.V.‘.>..;...._.. _... ._.__.‘ I ‘ ._ 7'
aw ,. . JP .ClvilOlYences x I Lite:-acyTest ,. itDate cl Arrival Germany r,->724»-» 1944 From P91-I Ukri 135-5Names Sex Date of Birth i
Nationality Address | Relationship | ; EmployabilltyI-Iili F 23-4-2§ ?0l.Ult2~. E.'P.C. wife F( ml/i\Li.>t,hAii 1r - l j.j.)6 father-:|.n- awat y 4 , %L/I A
at ,_Knowledge oi English Ct'¢v/1|»-/v.7 I Letter of Authority No. I Travel Document No./ e ,,/<:,;,Security 5, /-' , , f _/~>/ -I ._ 7 V Y, _ . ~,-1 _. _:_, - 7% , _ M‘ 101/14-(a) Reason for coming to Germany. etc. j /"a VA i“, " ’; " '5'?!’ ' yr
/ L U y(c) / vi](5)3 ()7 I I/>1». /L’/>/4/4 4 /J;¢/VS. ‘ /Employment In own country , 71 M ," J, q,,___ Q;/;_;; L ;./. 7_ [ ' /_Germany V-/1117!. /v_"""/2-1! //'1 ~t. C/-./I/1-;¢.:.i§._ £5-REmployment (a) On arrival ln{+ (b) Later V41’ ‘-‘L..
3>2’\_JIn,/,0 /‘/// ck//'.Z.,~rMSuggested employment AustraliaUndertaking : I-hereby certify that the personal particulars suppliedby me to the Australian Selection Officers are true in every respectand that l have made myself
familiar with the conditions under whichdisplaced persons can emigrate to Australia. I lully understand thatI must re;r\aln‘,&1.the employment found for me for a period of up totwo years and val shall not be permitted to change that
employmentduring that period without the consent of the Department ofImmigration.Full Name \ .(Bleclu) ¢ ,- I ‘Erklirung: lth erklle hiermit, duB die persiinlichen Angaben. die Ichden austrulischen Selection-Oizieren gegeniiber
gemacht hube. in jederHinsicht rizhtig sind. daB ith mich mi: den Bedingungen. unter denen ver-schleppte Personen nuch Austrulien auswandern knneri. vertraut gemach!hnbe, und daB ich mir dariiber klar bin, duB ich ir die
Dauer von zweijahren in der filr mich gefundenen Beschftigung verblelben mu und esmi! nicht gestattet sein wird. diue Beschéifrigung wiihrend jener Zeit ahneZustimmung des Department of Immigration zu wechsein.V 1 1/~/,1
,"v/,._lL' Q ,.v/Q. /‘L: 3//1/-17' -/' /Signature 1. 1 . Date ' 7‘/ii» / /U‘ ‘+97 " / 54-A /‘/' 21/>»»».:z.¢ /4',R k ,-. w I V --~ '4 .- .emars .5; 5;“¢,»,;L¢ I‘ I //1_ Ll , -/.=»/, J/ 1 1; t»Signature ofielection Officers , L “z: (1 & I Date l:>/ >/(/i/I/ L-_
._ » /PSSiHQ)R3986D'/i0MIS~l9 \ ;;
i i _ 7_ _ __ A- _1_i I. O. Resettlement Medical Examination Form /ll/F l/42Part I. Itleiitiilcation form to l)(‘ C0lllpl€[8(l liy Assembly Centre doctor.I. Teil. Identi/mti0ns-Formular, (lurch tlen Arzt der Assembly Centre auszufiilleri.1 14
Namg D I‘ K H Z. Camp i 3. Location 35'Name Lager N Orfschafti I .4, Agq 5. Sex 6. Colour of hair 8' Alta Gesc/ileclit __ Haarfcirbr: Farbe d. Ange-ln ~ Grssv G¢‘lv"¢'5? V V i il gesehen, seine/i/ire DAPKII Kai-tc, seine/ihre
PIIUIOQTEPIIIIIC) cl l7. Colour of Eyes 3» HEiQl\i /J ?') 9~ W¢l9ht 9 a1O. Scars or other Means of Identification ,Narberi cider andcrc Kcrinzeichcrill. DP. Number (1 I2. Claimed nationalit WI’Y’ DP, N||mm9f /! Angebliclic
Staatsanl certify that I have seen - Icli or/cliirc5 ' /’Mr. - Herrri , ' ‘ ' iMrs. - Frau ., andMiss - Fraulein V ;examined his/her D.P.I. Card, his/her photograph and his/her ' , and agisatisfied the particulars given are correct and that
he/she has igncd i 'kontrcllieri‘ .ii habeni lch bestatigc. dass die Angnbcn ric/my ind, Gng‘9as.$\crésie ,in mciricr Gcgenwart imtcrzeichnet lint‘. B_)\.Q- ' L .- r- r\ ..\ 0 ~‘“ ‘/Date - Datum ;' fi ll” h’§l‘llIlll|l' .\Ii~|licn| U“|\'t|’ < l'i|!o-nrhri/I rli
Arzia-s Signature of Cumlithtei Uniersr-lni/I |I>K|IilIMl|*!|Part II. To lJE completed by Assembly Centre doctor and signed by ,th'e Candidate.II. Teil. DiirchtlenAssembIyCentreArziauszufilllemu.durehden Kandidaten zu
unterzeiduien.l. Family medical. history ' ‘ "Z4/‘U ' I. Krahlrhvitsycscliic/itc dcr Faniilicr _ ,' No. of Children: a) Alive /7 b) Dead /- c) Cause of death 1Zahl d. Kinder: Am Lcbcn I Q ‘ Gcstorberi H V Todesnrsachc2. Have any of your
Family suffered from a) Tuberculosis. b) Mental Illness. c) Epilepsy? lf "Yes" give details:Hat ieniand ihrer Familie an Iolgendcn 1\'rariIr_hcitcri gclitten: a) Tiibcrkiilose, b) Geisteskrank/icit, c) Epilcpsic (Fallsucht).l/Venn "Ia". bilte
riéihcrc Arigaben:_1 - , vvvvv 7]s.3. Personal n-ii:dica,l' history‘: Have you suffered from any of the followii-ig illnesses? a) Tuberculosis. la) Mental illness, c) Epilepsy,d) Vqiercal disease. c) Kidney disease, 1‘) Nervous
breakdowni If " Yes " give details: ‘Perséinliclie Kr.-ink/icitsycschiclitc: Haben Sic an Iolgenden Krzinklieitcn qclittcn: a) Tiibcrkulose, b) Gcisteslrranklicit, c) Epilcpsie(Fallsnclirj. d) Gcsc/ilcchtskrankhcitcri, c) Nicrcnkranlthcit, f)
Ncrvcrizusammenbriich. Wenri "Ia", bittc !‘i¢'i/I(‘!'C Arigabcn:sP Z/r 1/C‘ i~ I‘t. Previous illnesses. injuries and operations _ot candidate, indicating whether he has or requires prosthesis for amputation:Frii/it-rc Krankheiten,
Vcrletzurigén ii. Opcratiimcn dcs Kandidatcri, mit Angabe ob cine Pmt/iese nacli Amputation uerlangf wizrdc.. "7’!/|:> -3 .l vi-rtii'y that the .i,..w lI|l\t'i'||(‘hl! mi» i-y Ill!‘ in i...w~ In llir (L)Ili§l)lIl[ i|u:|itiunu ll’: true um] complete 1.. Ill: laeil
Jr my In-lint.Id: li4».<I/iiige rlir Itivllliglmil iituigiir Angnlu-1| llllll ii-iilarlu-|'l>igi*!n-ii, iirmli nwi'm'm bl'!4‘l'!| Winoli nu] nlle I"m;;u| 51-aniwurle! :u Imben,IDate ¥‘ 7- V7 _. Signal re of Candidate >_ __ n d2 _ '1 Datum Clnterschriit d.
Kandidatcn l I\“~
* Y W J -‘w ,_-____. .. __ _ ,-_ 7. 7. .' r“ PHYSICAL EXAMINATION. Pm 111'.’ To Be‘ completed by Assemhly Centre .1061“. Pm IV. T¢AERZTLICHE UIVTERSUCH U NC. Durdz den Arzt de_r Assembly Centre auszufiillen.1»
General build - Ange»-=-"1-=5 Awehen .~ - - - - - ~ - 4 ,, . . .. .. Z. Visual acuity - Sehschérlc a) without glasses a) ohne Glaser R__ __ __ - L _._ R ‘b) with glasses b) mit Gliisern R "" L * R 934 Hearing - Gehér . . . .' . 4 . . .
. 4 R" 1/Ll‘, __L . R4. Trachoma - Trachoma . . . 4 . . . Y¢§ - )4; ‘ V _No - Nein ‘fess ‘5. Teeth and gum - Zihnc u. Zahnfleisch , . __ _ ' 6. Abdomen - Bauch. Unterleib . . . . ' .7. Hernia - Bruc/1 . . . 4 . . . _ _8. Operation scars Operationsnarben . 4 . . . . . . . ‘ H _ I9. Reexes (Note reponsc) ~ Reflex (bcachte die Antwort) lPupils: a) to light Augenstern a) bet Licht . .b) on accommodation b) Anpassungsucrniiigen . lc) knee jerks c) Knie-Reflex . ._ .d)
plantar d) Fussohle . .l0. Respiratory system - Atemsystcm . . . . . . .; a Ill. Cardiovascular system - Cardiovascularsystem8) Pulse Ya" =) P1118 ~ - - - 4 - < v .- - . . .4I b) Rhythm and regularity b) Rhythmus u. Regelméssigkeit 4
_ ‘ _ > _ _ __ =2 B~P- C) B-P~ - 4 - - V - - - - ’./4’I[!.€., '7.d) Ausculation cl) Untersuchung . ‘ ’12. Genito-Urinary - Geschlechts— arid Harnsystem . W 13'une' Uri" ' ‘ ' ‘ ‘ ' ' ' ' ' ' ' ‘ ' ‘ ' ‘ ' >' sl-1951' Albumen S093714.
Gynaecological (where necessary) - Gynaecologisches (wo nétig) . . _ U H _ I 15. Date of last immunisations - Datum der letzten Impfungena) Smallpox a) ,Poclren . . . . . . _ > __ ' V _ Y I V’ b)_ Typhoid 8 Paratyphoid b)
Typhus u. Paratyphus . ' __ ‘ __ BC) Eldemic Typhus C) FIe°l‘t9Ph"“ ' - ' .. .. ..d) Diphtheria d) Diphtheritis . m e) Others e) Anders . . 'l6. Further notes — Weitere Angaben . . . . __ _ V _ _ _k/4 7 W' l hereby certify that l have
examined y v_ _ _, . ' ' The above pcrand that the above findings are true to the best of my belief and kn ledge. l Consider before 3 59134;“.he/she is tit to proceed to a Resettlement Centre tqr medical examination.' Ich bwérige Iiermir. dm ich . em .. .. . . Dale ..l halve. Ich erklére ihn/sic Iéhig, sich bei einem Resettlement Centre zur érztlichen [Inter-, l V ‘ w .' ‘ 1 7 Lay 4 RaDate - Datum ' '- Signature - Untersclfrift - ‘I v_ __ l‘ F. ' ‘ - . . » _ : . . 4-/ > "\\ V O
E T Luntersucht und obigen Befund wahrheitsgetreu nach meinem besten Wissen erstelltsuchung zu melden FDI “' V\ W A /“AIKFEIIII (‘nun Medical Dfcer d hnmbl» tmzn» 17$!!!<1 F; E
" ‘ ' 1Part Ill.‘ To elcompleted by. Assemllln Cellt-re doctor. Part IV. To be completed by Medical Board in ResettlementDurdz rlen Arzt de_r Assembly Centre auszufiillen. , Collecting Centre.LLLNo '-R V "' V .. V. VY“ - Ia *
V/I/‘/“P .V I I hereby certify that I have examined , , 6 ___ E _ _ and that the abuve findings are true to the best of my belief and ledge.he/she is fit to proceed to a Resettlement Centre fqr medical examination,l¢/1 b¢$¢5¢i9¢
'li¢'mi¢- K16" ih .. .. 8'" habe. [ch erlrlre 1'/in/sic iéhig, sich bei einem Resettlement Centre zur érztlichsuchung zu melden. _K\-7 Lg’ V V 4%“, VDale - Datum ~ - _ Signature - Unlerschrifz‘ - >_ V _____ _,Asn-mhly Centre Medial
um." _ 4. rlll('l|lllI_\ cg-m Ar-m. V . . . V V V V V V V VV. M V . /3"-° _ _/Z/ 0 £14”, .J'~-69¢» ~ V _ __ , _ Q/V JV M
V. ' > i _ .144/25 V II 5../V V V/‘rv/VV /1/W’Y'"~' /Vh V VgI)'I II
1 ‘II consideruntersnchl‘ und
obigcn Befund wahrheihgetreu nach mcinem beslen Wissen erstellten [Infer- ‘/kjol\ V I/1'? .../?{zJV A FaQ" ‘Q1'5?% The above person has been examined by rne and is t ‘ fi 0 appear. V $1 ibefore a Selection Mission. _Prnlidonl.
n. P. ma Vment Centre.'” " " ‘ " ‘~ l ntuuesostn' |;_, . Q ‘‘ oennzt yV -4
Part V. Special examinations. I ‘Ir) X-lhly 01' chest Duh» Slump ILa1HeartLungsIr) Blnnodesl [)a¢¢- smmp.F) 0l|ll*l'>' Dale StampPart VI. For Selection Team Medical Officer only.l lune exunuined D O 5- liq l ‘A H A W '2 V L O »
Vuml m~|-lify 1/' he/she is l for emigration (41 A U " I L I ’\ 2/ he she is uni i' ./3' 7 '14 /Unto 7 J Signalurlr ' IK,» , i I /‘. . , , /Mlssionlknzu ‘ v£_J‘
H "l.R.O. Resettlement Medical Examination Form C/6]"Purl I. Identication form to lie Completed by Assembly Centre doctor.I. Teil. Identikutions-Formular, durch den Arzt der Assembly Centre auszufiillen.l. Name D Ll Z. Cainp
' 3. Location" I L _ cr Orfs I ft4. :32"? 211/ 5. It-Qilkdl _ 6. Colour of B419»,/-1.‘Alter Geschle-cht Haarfarbe 6 95llFarbe d. Aug‘-ein rosse W CW10. Scars or other Means ol Identification I edy f M ¢(4Narben oder midcre
Kennzeic/icn - .11_ D,P, Number U b 1 12. Claimed nationality1),p_ NL|mmQp Anycliliche Staatsan‘7. Colour of Eyes A l '11. i . Height y // S0 __ 9- Wemhg H V HG" V G ic/itI certify that I have sccn - Ich erklarc —Mr. - Harm
Mrs. - Frau . - i andMiss - Fraulein Fexamined his/her D.P.l. Card, his/her photograph and his/hcr appQ; g1satisfied the particulars given are correct and that he/shevhas.-signed in nky pr_e§enc ‘.gesehen, seine,/ihre DP]. Karts,
seine/ilire Photographic nwjlg Si3l7‘l7!.]l!‘,;iA11§S€hE!‘l\;_.kontrolliert zu habcn. Ich bcstélige. dass zlic Angabcn ridwig sindy imd dass er/siein meiner Gegenwart imterzeiclmet hat. R X4:1’ /t. 7. 2'4 i7~¢~“' Suzliuviirr L~ll'4ll|'lI
Oliver »I|iler.~4i-liri/I11. Ar-Yrs Signltnre ut Clndidne- (/ntcr.rc/ni/t 1I.l\'ur|ri|'rlu|¢-nPart II. To be completed by Assembly Centre doctor and signed by the Candidate.II. Teil. Durch den/1sserrtblyCcntre Arzt auszufiillen, u. durch den
Kandidaten zu unterzeichnen.1. Family medical history *7Krankhcitsgcscliichte der FannlicNo. of Children: a) Alive /'7 _ b) Dead’ f c) Cause of death "Zahl d. Kinder: Am Lcbcn Gestorbcn Todesursache2. Have any of your Family
suffered from a) Tuberculosis. b) Mental Illness. c) Epilepsy? ll "Yes" give details:Hat jemand ilircr Familic an folgenclen Kranklicitcn gelittens a) Tuberkulose. b) Geisfeskrankheil, c) Epilepsie (Fallsucht).l/Venn “Ia bifte néihcrc
Angaben:' Z 1141,:/53. Personal medical history: Huve you suffered lrom any of the following illnesses? a) Tuberculosis, b) Mental illness, c) Epilepsy,dj Venereal disease. e) Kidney disease. f) Nervous breakdown. If “ Yes " give
details:.Persdnliche Krzmkhcitsgcsc/zichte: Haber! Sie an folgcnden Krankhcitcn gelitten: a) Tnbcrlrulose, b) Gcisteskran/rheit, c) Epilepsie(Fallsncht). d) Gcsclilcchtskrank/zeiten. e) Niercnkrankhcit. l) Neruerizusammenbruch.
Wenn "Ia", bitte niihrrc Angabcn:,/“Z/U4. Previous illnesses. injuries and operations of candidate. indicating whether he has or requires prosthesis for amputation:Friihere Kran/clzcitcn, Verletzungcn u. Operatinnen dcs Kandidaten.
mit Angabe ob sine Prothese nach Amputation ucrlangt zvurde.V, ' Z/7.4.7' " /Q1 9. ‘ W1 l‘(‘I'lif)' um lhr B|b0\'t‘ sialvniruls mlllr 1., ll\l’ in 2uuwtu"lo the fnrtgulng .1-=-ism .1. lnlc nml complete Io the mi at my beliel.m. bllsliiligr in, ni.~/.1:,;i.-in <,1.;g~ xlllglllllt .....1 |A'IAl|f!l1'l!.YgIJ|rt*ll, nub]! lnL‘l!lL'l|| ll1'.\Il4Il wan». ..../ nlle 1-‘ma. ,,-mm.-rim-i =.. W., .Date _ > 7-Y _ Signature of Candidate M H Datum - Unterschrifl d. Kandidateri i
-7. ,_ - . ml‘ ‘,1' PHYSICAL EXAMINATIQN. Part Ill. To be completed by Assembly Centre doctor.AERZTLICHE UIVTERSU CH UNG. Durch den Arzt der'/lssernlfly Centre auszuillen.Part IV. T1- G=n=r=1 build ~ AI1g¢m=»"1-es
Awaken - - - - ~ - - - .. ,. ,_ ., Z. Visual acuity - Sehschérfe a) without glasses 2.) ohne Glziser R_ _ _~ VL it/0 T _ VR L /4 Ir: 1’) Wiih slams bl "I" 5158"" 4 . .. ,. 4. . 4 3. Hearing ~ Gehiir I 4 . . 4 .. . . . R_ V 1A4/0’! V. V L -_
R‘l Trachoma - Trachona ' Yes - Ia \ o - Nem /Qli5. Teeth and gum — Zéhne n. Zahnfleisch . . _ H _ 6. ‘Abdomen - Bauch. Llnterleib . . 4 . _ V V __ V V - i 47 Hernia _ Bruc/1 /LA/*9B. Operation scars - Operation.\marben4 . . . . .
. . . 9. Reflexes (Note reponse) - Reflex (beachfe die Antwort)Pupils: a) to light Auger-isterri a) bei Licht . . .b) on accommodation b) Anpassungsvermogen .c) knee jerks c) Knie-Reflex . 3 H Vd) plantar d) Fussohle , .l0.
Respiratory system - Atemsystem . . . . .§=€ll, Cardiovascular system - Cardiovascularsystema) Pulserate a) Puls . . . . . . . . . 'l b) Rhythm and regularity b) Rhythmus u. Regelméissigkeitc) B.P. c) B.P. . 4 . . . .'. 4 .d) Ausculation
d) Untersuchung .. K . 4444444 ..I2. Genito-Urinary - GeschIechts- und Harnsystcm 413~u‘*“°'U"" - - ' - - ~ - ~ ~ ~ - - < ' ' ~ Susarm. -Albumen”. ,4H. Gynaecological (where necessary) - Gynaecologisches (wo ntig) . . I _ H I _ _6- 6 -b) Typhoid 5 Paraty)§hoid' b) Typhus u. Paratyphus . Vc) Epidemic Typhus ‘ c) Fleckfyphus . . I. 4H) Diphtheria d) Diphtheritis .e) Others e) Andere16. Further notes - Weitere Angaben . . .15. Date of last immunisations Datum der letzten Impfungena) Smallpox 1* Va) Pocken . . . .' . .u VI hereby certify that l have examined V _ V __ _onV ' _and that the above findings are true to the best of my belief and knowledge. l consider0 he/she is fit to
proceed to a,Resettlen-ient Centre for medical examination.[Ch bestifiye hiermif» ‘"55 ivh .. .. .. .. . .4 .. am .. .. ..untersucht und obigen Befund wahrheifsgelreu nach meinem besten Wissen erstellthabe. Ich erkléire ihn/sic féhig,
sich bei einem Resettlement Centre zur iirztlichen Unter- : * > ’ " —- 'suchung zu melden. ' V~ .11 P. A. c._ 9 liq é ‘ . c.c.c. (B.E.)I 1 . W‘ v YDate ~ Datum ' ' Signature - Unferschriff_ . l B'A'O'R' 8V Anrmllly cm" Mun:-1 omm - .1.
i-m»-".:.:,- Cvnlre .4m»i. i; O E F. 71 F '-4Sugar , ./11421/Q1,»/nThe above perbefore a SelectiDate _
-, __ - u ‘W ,1Part III. To be completed by Assembly Centre doctor.Durch den Arzt der'AssembIy Centre auszu/iillen.Part IV. To be completed by Medical Board in ResettlementCollecting Centre.miigenq)~-75LR Y . .L ' . . YYes
Ncin /b‘-3aux:- Ia . . /V Q -14j/Li r .,.jI. /Y//a "'/u, 4- 0- ~ ____ .. .4 il .. » 4- 0 /7/1/5"bu4-Sugar ‘I ,.
.. Albumen . , I> II
. M wwpmkw/www’ i i i ‘~ ‘°(\\.<\.gl.' A: /Qt 91 9,I hereby certify that I have examined _ on‘ ' '
aand that the above findings are true to the best of my belief and knowledge. I considerhe/she is fit to proceed to a,Reselt1ement Centre for medical examination.[Ch be-#5598 Hermit» dl"-5 ich .. -5'" .untersucht und obigcn
Bcfund wahrheitsgefreu nach meinern besten Wissen erstelltbabe. Ich erklrc ilm,/sic féhig. sich bei einem Resettlement Centre zur érztlichen Unter-suchung zu meldcn.. _ _ t la @014Date - Datum Signature - Un(erscIxri[f_ ' _
Arumhly Centre Mnlicnl Officer - J. _-|nuv|!|l)I_\ <.~m.- Iflllll‘.‘ _, /Y/.12?-i}9'i Q ,.jISugar . Y . Albumen‘B.9. 6.6 .2]. _¥-/ww'~. e$-"§_IC'<\91°1 /21 4 The above person has been examined by me and is considered fitw §o
appearbefore a Selection Mission. V04 AREA Cvat» ' 20- 9-43 signature <,1ni\r-..;.|a..|, n. v. Mei Q3?‘ ‘ _ _ _ 1 <v;_y. \_{‘:‘l_\LI.\ :4;11? D. P. A. c. s. " .11 °“‘ C°“‘"'l C-C5" (BL) lb imuucaosm' B.A.O_R.8 ~1 'r 1 _' . " IE‘ Of.-”\ RF
1, II,‘ ¢Part V. Special examinatios.u) X-Ray of chesl Hula Slump IHeart .. . .. ._ .. . . . ~LungsDate Stamp, -b) Blood lest’ K— — _ —_~——7—_—— _ ___ - _‘. __ —' ————4Part VI. For Selection Team Medical Officer
only..,,,.m.,,,i,,e., D0 L H1 Ii I-I LI H , ,. V. A < A _ ,and certify 1/ he/she is t for emigration tn AU J 1 ll HL I /K /lb?-2/ he she is ufbpmasun ofmu» /L; 1,‘; Signaturem I. Mission , ', .
SURVEY CARDM)-PCIRQDATEAGE DAYE 0: 5| m<_ DATE (Am=~=qx.)FR£\/IDIIS M R. mum {IF mu) AI’:1I , NATIONALITY\5 .¢~. ;;.)@ kI§7§_$summmz(BLOCK L:1‘TER$)1‘ .' , ,CHRISTIAN MAME(s)PRESENT ADDRESS' » ‘
;ZONE REGIONK‘ 0ccuPrr|0NNUMBER or FAMILY cowncrs m snows14,5READING OF MINIATURE FILMLARGE FILMNORMAL‘ nmsuosls FROM as MM FILM ‘ REQLHHEDCLASSIFICATION _ DISILOSAL \OF DISEASE
240.: “i ~ 4u|.-nwwz DlAGMos|s cum-rncm LARGE |1n_M Dovroa °'5"‘"5"“'(szz wan) ,sANAYoR|uM N0 ACTIONCA RD‘ COMPLETED
TUIEICULIN TEST METHOD NEGATIVEI +++ +++MANTOUXNANTOUXPATCH TESTMANTOUXDATE D NEGATIVE |:| NON-SIGNIFICANT E] SIGNIFICANTREADING 35 m.m. 70 m.rI\. ‘ LARGE FILM READING DATEI
C..f"r".U P‘?EJUEJUEIUFILM UNSATISFACTORYESSENTIALLY NEGATIVESIGNIFICANT PATHOLOGY OTHERNON-SIGNIFICANT FINDINGSQUESTIONABLE FINDINGSPROBABLE T.B.THAN T.B.
3_DUDE[:1ESSENTIALLY N EGATIVENON-SIGNIFICANT LESIONSv.4MINIMALMODERATELY ADVANCEDFAR ADVANCED 'SIGNATU RE VJ -‘.. .
¢— ___ — _ V _-7:; — 7;:._.. _._...~......._‘_..._-....,_,_,_...,..,- ..... _..._.. -___,. -_ ,_--...._-_ V.30 904 Area OfficeFalli ngbost clMedical Section( _c Ii-’___1g_1‘_ 1_ 1;I__vc_A_g_;_o_ §__9E...B.l*_° °_D__£’.E.S.1I-(_. 'T - 1 ' "'
.*.u‘/V1-H17I hereby cetgr, that ‘3§a£L.'2‘.‘.I:JI]I%-..--...........<.......‘.i=-Jt-1-_:~-_---L-;-1:‘;Indentity Card -........-.-................~. men su.o_Jo1=\»uu~»0 Q ‘\-blocvi test for Veneral diseases, and the re:=n1l't Ins Tween i'o\1'R<lé 1‘IT1GATIV;f5__-M‘~ 4 D1; .49 "" "'""’"”‘ “ ‘ “‘A S2'._r3'r1;;1;ura—, of L‘ or'n1101'.Y W... “ ' -;)1"fio'*_.:l o::1"1\.in_: ‘out test.4...-..» -~ , .
ll 1 * Jri I. R. O. Resettlement Medical Examination FormPart I. Identication furm to be completed by Assembly Centre doctor.‘I. Teil. IdentifiIcati0ns-Formula:-, durdl. den Arzt der Assembly Centre auszufiillen.1. Name DOl’N; \/\
‘ge-O43 3- "amp '7; 3. L<>carim_1__ Name l ‘ Lager M Ortschaft-4_ Agg J 7_ Sex _ 6. Colour of hairAlter - Gcschlec/it Haarfarbe7. Colour of Eyes 3- H@iQl1_§ __ _9- W°i9ht__ HFarbe d. A1195}? l Grdsse GewichtIO. Scars ‘or
other Means of Identification >Narben oder anclerc Kcnnzeichen11. o.P. Number 12. Claimed nationali D.P. Nummer ‘ Xlngcblichc StaatszI certify that l have seen - Ich erkléireMr. - Herrn I , ' ,Mrs. - Frau w L1‘ - nd _Miss Fraulein ,examined his/her D.P.I. Card, his/her photograph and - er agvarlnl. sudsatisfied the particulars given are correct and that he/sh hamg ihlgwt‘ esen .geselien, seine/ihre D.P.I. Kai-tc. seine/i/ire Pliotogra ie u@,G§1'/i
l'.g15SEhkontrolliert zu haben. Ic/1 bestatige, dass die Angaben r /my s er/stin meiner Gegenwart unterzeic/met hat. g ‘E LQ E9 4/1, 'i ‘f _ ¢ ca, -.. 4 ./., ‘f . ' . ..Slgnlllilrll r\|».|----i| ulff - l“!|1L'r.\'rl|r|‘/I IL A7111‘! blgnalllit cl Ci|‘|didl!eL/nit-m~Ii,i/i 4I.K1l1Il’ll‘lIKE!lPart ll. To be completed by Assembly Centre doctor and signed by the Candidate.II. Teil. Durch rlen Assembly Centre Arzt auszufiillen, u. durdz den Kandidaten zu unterzeichnen. _1. Family ‘medical
history doKrankheitsgcscliichte der FamilicNo. of Children: a) Alive * b) Dead .-- c) Cause of death ¢Zahl d. Kinder: AH!-LCbCll Q N Gcstorben Q - ' Todesursache2. Have any of your Family suffered from a) Tuberculosis, b)
Mental Illness, c) Epilepsy? If "Yes" give details:Hat jemand ihrcr Familic an folgenden Krankheiten gclitten: al) TuberkuI0se\ b) Geistcskrankheit, c) Epilepsie (Fallsucht).\/Venn "Ia", bittc naherc Angabcri:/’Y/ L/O3. Personal
medical history: Have you suffered from any of the following illnesses? a) Tuberculosis, b) Mental illness, c) Epilepsy,d) Venereal disease. c) Kidney disease, f) Nervous breakdown. Il "Yes " give details:Persdnliche
Krankheitsgeschichte: Haber-i Sie an folgendcn Krankheitcn gelitten: a) Tube:-kulose. b) Geisteskrank/icit, c) Epilepsic(Fallsucht), d) Gcsclilechlslrmnkheiten. e) Nierenkrankheit, f) Neruerizusammenbruch. Wenn "Ia", bittc nahere
Angaben://' a /‘ / '4‘/J/04. Previous illnesses. injuries and operations of candidate. indicating whether he has or requires prosthesis for amputation:Friihere Krankheiten, Vcrletzungen u. Operationen des Kandidaten, mi‘! Angabe ob
einc Prothcse riach Amputation verlangt wurde.17./1/0I 4'(*rli|'y um n..- .\..,w llllurnla mullr by --ii» in answer In \he fnrcgninl qlleiliuna are true and complete 1.. the hen ul my belief.m. lH':llf|Yigv i/:-- Rllllliglrvil nbigvr -|,.g..:.».. llllll
||'¢|/lrlleilxglfrl, HUI‘)! meinem bean-n Wm!" ldl II”? Frllgwl Qellllllnbrllll :14 Imben.we .7’? .4‘?/“*7 orDatum Z1 nterschrift d. K andidatcnI4ii
vI . ‘v ,_"t ') I n r‘PHYSICAL EXAMINATION. Part HI. To be completed by Assembly Centre doctor. Part IV.AERZTLICHE UIVTERSUCHUNG. Durch den Arzt den Assembly Centre auszufiillen.1.Gene==11»-11¢-Alrgemeve=Au=s¢he~ - - ~ - - - - - 4. . ,. . .. 2. Visual acuity - Sehschérfe a) without glasses a) olme Glaser R U _ Vt‘ ' > L >_ H R _ b) with glasses b) mit Gléisern R " L M y’ _ R __ __3. Hearing - Gehiir .... . ..... R L R_ 4. Trachoma
- Traclioma . . . . 4 . . Yes - Ia Na - Nein /I/1/° \~ _54 Teeth and gum » Zéhnc u. Zahnfleisch . . _ _ ' ______ __ _ _ 6. Abdomen - Bauch. Llnterleib . . . >14 -7 -Q74 Hernia - Bruch . . . . 4 . .8. Operation scars » Opemtionsnarben 4
. . . .9. Reflexes [Note reponse) - Reflex (beacittc diePupils: a) to light Augenftcm Q)b) on accommodation fl b)c) knee jerks ‘ C)d) plantar I pigAntwort)bei Eicht . . . .Anpassungsvcrmégenliie--Reflex , . .lizzssbltlg. . r . 10.
Respiratory system - Atemsystcm‘ . ‘._“'."4~_.\, . . . . ._~_ .r_"ll. Cardiovascular system - Cardiovascularsyslema)- Pulse rateb) Rhythm and regularity b) Rhgthmus u.a)Puls.........Regelméssigkeit .c)B.P. c)B.P.4......4.d) Ausculation
cl) Untersuchung 41'2. Genito-Urinary — Geschle_chts- und Harnsystem .13.Urlne-Llrin... I5. Date of last immunisatious - Datum der lefztena) Smallpoxb) Typhoid E3 Paratyphoid b) Typhus u. Pc) Epidemic Typhus c)
Flecktgphusd) Diphtheria d) Diphtheritis .e) Others e) Anderc . .16. Further notes - lVei:‘ere Angaben . . . .lpfungenIna) Pocken .....aratyphus . ./I/I/v\/VP/O7 444 ¢SW31‘ . . .. Albumen .. . f. Sugar __H. Gynaecological (where
necessary) - Gynaecologisches (wo nétig) . . U441- ..AI hereby certify that l have examined _v Egmonu ° ‘ : The abnvcand that the above findings are true to the best of my belief and kno edge. l consider before 5 $8],he/she is fit
to proceed to a Resettlement Centre for medical examination.Ich besttige hiermit, rlass ich v_ M _ _ am __ _ . Dateuntersucht und obigen Beftmd wahrhcitsgetreu nach meinem besten Wissen erstellthabe. Ich erkleire ihn/sic
féhig. sich bci cinem Resettlement Centre zur arztlichen Unter- n] D_ P,lsuchpng zu melden. ‘ c_c.G_- V \\ , B.A.O.-' 4 -w,77 (pg an, tDate - Datum \ 2 _ Signature - Untersdhrift _, ‘ r O E RAilrmbly Centre Medicnl nmm . 4. .tmm:t1_»- (J1-utrv .-mm.
tie — 77 ~.v ———— V * -ielD Q" ”' ‘D I u u‘Part Ill. To be completed by Assembly Centre doctor. Part IV. To be completed by Medical Board in ResettlementDurdz. den Arzt der: Assembly Centre auszufiillen. Collecting
Centre.wégen) .[Ch bestalie hirmitl ll-‘"3 id‘ ._ . 5'" .. .. . Date _ , ' . ' Sl9l1a!"l'e . .. .1,“ ., . .untersucht und obigcrl Befund wahrheitsgetrcll nach meinem bestcn Wissen erstcllt _~ ' " Pruirlnlv D- P- Melliul lI1}[_*~ ‘/lube. Ich erkliire
i/In,/sic‘ féhig, sich bei einem Resettlement Centre zur érztlichen Un!‘er— D. P, A- C-~ S‘ < ,_ »l7] ‘ R A/ Csuchung zu melden. 4 C G (B.E.) - _”*m"¥\* wk?‘- \ C- ' ' 8 - \'T‘-I.T{L7. . I»; g\ , 9 4 B.A.O.R. L l -' , * 77 lé§ Gm a E‘ Date Datlumlzl \ ' _ Signature - Unlersfllrift , . __ O E R _ FALUNG.BOS-[B,u-mm, Centre Mum-.1 Ulfiuer . .1. .4.”-1|-1.1, 1:.-..|..'.mm. -ytadR . / y . . L . 7 .. R. L1 . ,. n W" 5 .,.‘.”%".; ‘Q. r .5. g 4* J ~/#7/'4.95 . .. .. 9 91" ... .. ..* ' _//I/M: _
_/I/-0 WI, ,4 an X ll/-/~’..¥ I/'4'». ....'.".)W i W: \‘ 1 jj y 7 rSugar .. ' Albumen t ’ .. t. Sugar .. , Alb\1m=1=.,. . , , . ,> ..¢-.4.-1 H 2, c. W. ?¢;/ ._772°~§.,y-3<1?/ownk. ;Z 5' ‘ofI hereby certify that I have examined V, __ 0H__ X ' _ The
above person has heen examined by me and is considered lit/y to appearand that the above findings are true to the best Of my belief and kno edge. 1 consider lmfm-C a $¢1¢¢gj0n M55510;-,_ clhe/she is fit to proceed to a
Resettlement Centre for medical examination. . 0 9 904 AREA OF“i.
‘ .%;_Part V. Special examinations.u) X-Ray of chest l Date Stamp l ea" .. .. ,Lungs -‘page 5¢,,mp.. . b) Bloocl testl'\ vPart VI. For Selection Team Medical Officer only.1,,,,v,,e,,,,,,i,,ed Dlol. mill Q 9012 C E ..... .. bl . ' M.‘ _ 3and
certify 1/ lie/she is t fur emigration in A U J I VLI A _2/ he she is uni n4l~_>Duh: 7 ,/[O 5ig!Iature..,,._. . ._ Mission’ . . . . . . . . FEv;9" .I J
0,2.) Pom No.1 _N-moi. APPUCATION FOR‘ |.R.O. _ EUGBLE.4' 2.9.x!-4:»!/2 AM 0;;' 4‘ ‘Di ‘ " '* 1 Identity No.name - ‘60 _2‘ 6» Pu..,1[ (lug; _-“ Ethnic GroupOihér qpqlling or aliases. 1* \ . ‘ Cm ¢\‘\§hip ..V 4 ., .. ,,,, ’ .1:. W-id.
u.=.s. _ 1. s- M. 5-1-Mumal status- - , .' — in-Names. I" ' ' ‘ P *T*~ - . . - Dafe -_ h .. . Tw,povnceandht\€"‘::d\P bh Cmzenshup °m':mh.:/ Jf bmh‘ .a- ‘L . rs’ 7; '_ ~. " 4‘i \ _\ \, i ‘ ‘W; cA&&ca@# z;M8&1\.,X(6)J "K" a..\ ItV) - .4 . i A_ J\_
__Oflwwmembers af family ‘ V‘ - n -~, -1»-d‘ ~»,\.~~@-c. | , i' Full names.;v~‘.,“,,,,,, V7 ‘Ib>\' \ \n‘ ‘. . \\ \X \10. Places of9rasidence fur lust 10 years Y ‘For 'wham ‘ dates Town or villaga, province and country.‘inn -97.0 »1;m,m
[Q0/.£;g1N Qgg 51143 1é-ii‘ 178 "QM My/v.gL§& -L.A<‘v&_lQ' _{_§_-' rt.-517.’ - @.mm»¢.m.»1my V ‘\@v=y-»MT~@rr=»’v~, I-W~'?.#61l{:1 -fuv v' 0 r¢n4-Laeqv¢—
'|'l. Employ"'_ _: ..‘A ____ . __.~;.' mer—\'f for lust 10 years, ir;§:|ud_ing presr ,»en? 'For whomDates _ ' Type ' of, ‘workWéages3'64)_ my-1;w- fww~£.w -|'j.vd'»m~L ‘3.0£M4 ~no M60 ~8“) _ _+_9>7--Igmtamu wvylh\»__I-"FE-K1 . \ . » ‘ 1‘L7-K.-“iii 4;»;-’$0M\?»z»~¢- 11~=¢A»e.¢W (, .Q12. EducationI IFor whomDates Type of School Town provmce and cc-Pu)40¢409- 2.4 ’ ‘_Z2£.LLG1_0_lI_,_Q;111$!-id 13. Lu nguagesF r h ~ Speak ‘ R6Gd WYITB0 w om
uently | slighy - fluently I shghfly fluently shghrly4Employer Town, provmceum-u». Tomnnvn|Lau4.o¢u Nauemvr‘“‘*""‘*4\'~ Ho/. armN 6- 1' c Hu~n'sqQ/I-{gt 9R1'f$/fvQvruuw. N80-J’:-lnvsz..f-ouuum R I anMQ4/\»u4ou4.a_MunrrsgE‘?IE §‘i V V4 \1 1:“ A T_ _T___‘ _i_,
CM/114. Financial resources 'For whom Property ‘Type Value Lowtibn ‘ iCash and Incomet\1. I “iAssista nce fr omrelatives\\l5. Relatives‘ -. " ‘ xFu|| Mme l - Relationship l Complete address4 . lg y 7 ‘W ' ‘" '"*- “?»fl~',...',l,r.;~_>< 41Assista nce2.3.4..- 9 _- -' \ \‘Have you or any member of your Family been receiving assistance from UNRRA ; IGCL.' yoe-- no- ya‘ noor from a Voluntary Agencya? ' ’ _W D9 3 6If you have been receiving assistance, please
give the number of months a. ‘i \If you have receivecl cash, please state the amount -QIf you have been receiving assistance from a Voluntary Agency, please give the name of the Agencya‘I7.\Documents - *~_ Z~l‘|" .For whom
Date Ty.pe Place of issue By whom' 9" _ ""1-M M2 ‘$'0{/~Qf:44““ .o.r1e.. t “'7'”-Lo:A4.04/poo '- <3 - G1..1-fouaoé:/au4-u;FS 0¢00'ou4vl'- \_'-a.u.¢_ q 705' aw... off.“5'181:.-5.0‘?
18 Orgnmsuhons_ !___,._.__Q“For whom DateTOWI1 or Cnly Counh-ySlreel address or name of comp4. 20. Remarks Use for any uddmonul mfor P 8 Ca ‘L4 63nua-for commg lo Gannon 1,1 I 9 “J40 %?\;lb/zzal lumpy declare
vlhal the above slnlemenls are coHm for ussmunoeprzvlaas nppllca 1gar-e nJ rnahtc-1?-n 64 luF‘B * ~ <~ w~-x.:§iP5S(HQ]R\l39"'780M/l0 4Bv— \RE axgl 1 ‘--1‘ 905 l . -- 0 n aowoo 9 ‘ XII?’J9! 9 \ §D is ' Inuref lnwmwer Dot: _-——""""""-‘dv V ‘rev-'*‘ ~ I Z-Ag 7:-m' 3 ""’g;¢4\M\MIMensue for IROA, \\1w%WVohd masons for nol returmng 0°94‘ { sxdbt IlvizdqnM QM/#41 64- 41 J’ Arracl lo lhu besl of my knowledge, and lhul l hY\-Q/2 ,0.rblam 4- HQ. 4
fr'°°%1°<1* a.Mu4-wl 6"|'D:v rza
plO‘ RECORD OF INTERVIEWSerial Number ......... Area ACTION SHEET1I. Repatriation @_ X/Z»w&,7A //Jul MM, MW *1/Ywf W /M» bi / Wu, 134,’,2. ResettlementA bud/w& 6/7” wm M7#AW4»7Az_' /W
23¢./ff)9’I11stablishment in German Economy/&w¢* af/,a/M144. Employment and Vocational Training/éwérwU1‘. Difficulties and Problems4 mam; '* JMW »/W M/*~*xvii/4%/QM /I/l/'1»v M 7“ 6d»:»7| mk1¢-*¢ MM»
mzconn or? INTERVIEW6. Recommendations 'M /M, ,e,'¢l§» yd‘ L1/I/I 4-J4 ///@,;W;__9:4 /M /, 1? /9/\/£4/£6/14/517a»4' /W -»/4,5“.7. Remarks/ .\/\/Oi/v~/5-L7(»0'\/vve\/L./(X0\O£l»AA1/.l;'/(,9_/\;i0..M»(8. Any additional facts of
importance to the family (or individual) not appearing .elsewhere:9},“W";Z¢/,,.;MA»¢m,,.@%.¢~'¢¢~7,L»¢1-‘7£2»/<6§7'9-1»%»~< y/*4 @¢<»¢/H"i?Q.’.9. Action Taken Ly/A“ J‘ _; 7;‘ Date.. 6 . PS5 [HQ)R724B*I75M 2 48
Signature Ellyibkllly and Counselling om»:
IRO (ll) FORM 51To: 400 I.R.O. H.Q., Date Q}; IQ,’ 1%’B.A.O.R. 15.Via: Regional TeamFrom: Area Ofce995919 0,/0700 nor» Inc/905'/2&0/I><¥-Ill eSubject: Recommendation as a Hardship Caseg,,511. Head of Family Z. C’ '
hintzens p 3. Age,m“|Im] l “ma 2)4. Accompanying Family MembersName Age SexBtmdonllih5. The persons mentioned above have been found eligible for Ilt) legal and political protection and are deemedto fall within the hardship
exception to the freeze order on admissions for the following reasons:——- hr who is 01-lsibll11 lad to ITOLN n 10 P01 Ukr n2:-c§An;-‘frag menizxanmco, on 5377M in iugaterllgor P7 the GOPIIIIV 4 “run; for tumor in Imavacauwr
mu -c‘ nloma. an nvms m(xrhalaliitzl-h?:i-2' ‘inn; e€9]l:3ar;&:s‘b;om living unofficially in DP 3"“?8Lne0 ¢ ° ' 'z nor husband Kabul 1| 1 cl hr W4“ " ‘"4" 'together I1 h -1 t to A“°.::_.g‘ but tn. “wig health notr-ggilteroll once for 1-anti:
amenbolus wd/M: 'f;(vY"1L;j§:§?lc,,,; on/,,- '\~</nA.v\ ;,.W;¢76. On these grounds admission is requestedIO.0. I Camp, V 127 . DPACCS7. NOTE: Already receiving care and maintenance in accordance with provisions of para 8
s.ub=para B, Ioint _IRO/PWDP In ' 'struction No. 80 dated 30th Dec. 1948 (Delete when not applicable).Copy to:PSS(HQ)R3333ll2MI3-49..:>7R Der 7. L DE HERD206 awn Eligibility Team Leader TDPAQC$ for: Area Supervisor.
Form No. OM18HEADQUARTERS GENEVAPBEPARATOBY GONHVHSSION FOR THE INTERNATIONAL REFUGEE ORGANIZATIONCHANGE OF STATUSName--Family. FlD O L N I Krat or given2. Date7.7.493. Identity
No.261+ O62Change of AddressOld New Resettled Increase ln FamilyName‘ /E’ Lily0 11Number Date uf BirthRelationshipF .121, Wif 6F.M. son6. Decrease ln FamilyNameReasonNumber Relationship7. Change in
skillsNameReasonSkill8. UnemployedNameReason9. EmployedNameType or WorkEmployer10. InmmeNameIncreasedReasonDecreasedAmount. LanguagesNameReasonLanguage12. RelativesNameAddressRelatlonshlp13.
Country of CltlzenshlpNameAddressRelationship14. BellglonNameReligionDP Cards15. Other — specifyBranted DP Status Lily %B '/K1George 462 7/+516. SignaturePS5(HQ)R8564'/500Xl0B/'6-48I’ mm 7.7.1+©
Form No. CMI2HEADQUARTERS GENEVArm::PA.nA'1'oaY COMMISSION FOR THE IlN'l'ERl\‘A’1‘l0NAL REFUGEE ORGANIZATIONDISCONTINUANCE OF ASSISTANCECheck 1. Na.me—Famlly First or given name 2. Dane
3. Identity numberherewith “X”4. Names of ineligible individuals and relation to head of family5. Repatriated~Na.me of countryw6. Acquired citizenship of new countryiname of country W7. Well adjusted or rmly established in new
community, name of country8. Doea not accept plan of repatriation or resettlement9. No eort to be self-supporting10. War criminal W11. Persecuted civil population12. Voluntarily helped enemy13. Extradltable criminal14. German
ethnic origin as dened by Constitution15. Support from own Government16. Participated in organization for overthrow by armed force of own Government or other member ofUnited Nations17. Leader of movement hostile to
Government of origin, or oi movement discouraging repatriation18. Military or civil service employee at time of applying19. Died20. Whereabouts unknown21. Other reasons (to be specied)22. Signature: 23. Date:
2010. @11055Fa, .I00(rjg”l<Inn» IIVDYQIII/YIOXIIISI_ aw o.o.l31nma “Va.ll|_.___h'cn:- !¢Il0Ann0t!uo_ amuljOfnron'JVGn-4no/n»Ill Illgil31151-hlli DIPRUQQ "-1" i1 - , Alhohod burnt ylnu GIGI/I llliicul Clllhr , otmoo/n fwwk In-1.
lnnbqobtllxuzz-olbb an‘ - v, . lhlnniuqtncnnlnllitn-noQIJIIMUQ. 2 - 'm.&~.ae‘§§§*75?;1§=g§§=5‘; 5I0000“£3.11. nilhhn 4£.&_ mzmnv rm unq-"W ""- Elm; ' M m/E‘"1"-;'I‘Z ifn“““t.»¢-¢~°"¢’.3¢'¢§."'il"-L.)....1:’.>..
Phone Munsterlager 424 (Civil) 127 DPACS~ <37 ‘"49," __. Allan Brooke Barracks .Reference 127/5//0 oerrel BAOH 8T0:- g 905 PC IRO Area Teamc E L L E _ - I. - l.l. Reference my 127/5/124 dated 22nd Dec. 48It would be
appreciated if you would clarify the positionin respect of the a/n two women who are both unregistered DPsresiding in this DPACS. DOLNIK,Lily married in l948,and herhusband DOLNIK,A. (IRO Reg. H0 264 062) and a child born
in Aug.1948 are both registered.2. TAWALTSCHAN,0lga nee BURCHARDT,born on 23.5.1901 inFREIHAUS/Poland married TAWALTSCHAN,Fedir (IRO Reg. Ho 264 768)on 28.8.48 and is the mother of 1.).Both are in
possession of a certificate issued by youstating that they are entitled to legal and political protectionand care and maintenance in a Transit Camp when called for forresettlement. They are both residing in this DPAC$ with
theirhusbands and are 593 included in the Ration Eire ghh.14th January 1949 - ' WTH/WB. (W. COII)Z./sp....l GJ. , y Q37 DP§g;slunlanxiddlk tuuliq /.3.V .
RECORD o1=. iN'rE1:v1EwSerial Number....... Z l Area ACTION SHEET,-1. Repatriation 10-2. Resettlement 4uJ __, ‘Z4 tau-‘,9” ¢f Ll Zw-£2/go =2-»£~/q 0-,/[(114 16 .OQ 3. Fstablishment in German Economy4. Employment
and Vocational Training’ (;(..,u\ AA-t’k 1; an-< /k A 1-<q7E-“?'§A4':)/I __'5. Difficulties and Problems ‘J 100-. 410/ /09.0./\.L>(u»/' ’l~L~lx{¢lv6u-ea./~->k’FwJ £.=_,,' .»h§.¢/z1.wJ4O4 pmq al/u'v|-.- PTO.
REC(IZD OE -INTERVIEW6. Recommendations 1/H-J p Z Q aw7. Remarks8. Any additional facts of importance to the family (0; individual) not appearingelsewhere:9. Action Taken /'b£(~LD£ ' Q‘/' U Q JV}__ p_ 53>?’ Rdd/ 5 "
m,‘%/,,,,,‘,,; z.,.W,4¢.4. ow/M»»_I .\ 1r-— lo.‘ /\,,Date..... ‘V -I I ..... Signature Eligibility and Cmmselng Oicer.PS\S(HG]R7248‘.\ 75M 248
W,\ .$04 /v/K ‘"~¢?"“‘f"f.-r/"I RECORD OF INTERVIEWSena} '. r‘‘ Area Office..... ACTION SHEET1 Repatnation19+ ~/D6'£l'A'b¢-I /L044-[""‘1 "M ;~»~4'02. Resettlement £ ' 80' M _- k' ,9 -1.4,”_. M,&4,/ /M Z07/>011“ ¢2L.1¢.._3.
Establishment 1n German Economy4 Employment and Vocatlonal Training4 \-ns~- qlamc ‘:n§§55$?F25. Difculties and Problems is / bvlbadf {Z- éi ‘Si Z/W,- //u 4-0“! Gama-/' émm PT- A/nut‘ dz/1 I
/~”émwmm@%i M ~*'-*~%@:.7°JM.=1;, ,A;%;";¢°*?¢,'-.~"'"2("1.~‘xm. - L -»/A .6i:JRecommendations_ _ //-5 is 5./_ (‘Quiz 0,, ,/,_,,,, aJ/-omm'5@ej day} 7u4L'u.J1.oL . '7. Remarks8. Any additional facts of importance to the
family (or individual) not appearingelsewhere:-2'9. Action Taken M f1:,4¢;§@m¢M%¢47,/4-:' __& \§i4Q~' /iDate 1Z..¥-M19“? .. ‘ ................... Signature snpxuuny and Counselling omélzP550-iQ|R72|9* 75M/Z 48
J0Phone Munster Lager 424 (Civil) 127 DPACS , 'Reference 127/5/12H, Oerrel -BAOR 8.To: 905 EC IRO Area TeamCelle.uSItposition in respect of the a/m. ' -As far as can be ascertained she is an unregisteredDP residingNO.
264062,that she should be evicted from this camp, she howeverstates thatand informeW1in order that appropriate action can be taken.22nd Dec 19LSC/WK.7___ __ 7%2'5 DEG \948Allan Brooke Barracksjest: DP Status —
BURCHARDT Lil1_b .will be appreciated if you will clarify thein this DPRCS with her husband DOLNIK A. IRO Reg.from this information available it would appear‘she and her husband have been to your officed that it is in order
for her to remain.ll you please inform me her present status,‘///¢ -PM “48. WQT ard COII( )Comanding127 DPACS.Q
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Form No. CMI3HEADQUARTERS GENEVA1 2 Ml’. ‘P349PBEPARATOBY COMMISSION FOR TH INTERNATIONAL REFUGEE ORGANIZATIONCHANGE OF STATUS1. Na.me—Fam1ly. First or given 2_ Dam 3_ gdenqgy
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InebmeNameIncreasedReasonDecreasedAmoqnt11. LanguagesNameReasonLanguage12. RelativesNameAddressRelationship13. Country of CltlzenshlpNameAddress"1Relationship14. DellglonNameReligion15. Other —
speclfy16. SignaturePSSIHQIRBSGPISOOXIOO/B-48 '- 1/A €Z,\/we/<> om 3rd March 49i4
Form No. CM/2HEADQUARTERS GENEVAPEEPARATOBY COMMISSION FOR THE mmxnnnounn REFUGEE ORGANIZATIONNTINUDISCO NCE OF ASSISTANCECheck 1herewith "X"ANs.me—Family 0 First or given name
2. Date 3. Identity number14.Names of ineligible individuals d relation to head of family5.anRepatriated—Na.me of country6Acquired citizenship of new cou try—neme of country'7.DWell adjusted or rmly established in new
community, name of country8.Does not accept plan of repatriation or resettlement9.N0 effort to be self-supporting10.War criminal11.Persecuted civil population12.Voluntarily helped enemy13'.Extraditable criminal11%.German
ethnic origin as dened by Constitution15.Support from own Government16Participated in organization for overthrow by armed force of own Government or other member ofUnited Nations17‘Leader of movement hostile to
Government of origin, or of movement discouraging repatrlunon18Military or civil service employee at time of applying19Died20.Whereabouts unknown21.Other reasons (to be specied)22Signature: 23- Dale:I0
DP Lager_ NrAllgemelne Instruktionen Alle Fragen mussen beantwortet werden AUSFULLUNG IN DRUCKSCHRIFTW0 dxe Spalte fur ,,Ja" oder ,,Ne1n angegeben 1st, gebraucht man em X , um Ihre Antwort anzugeben1
Name_(ongma1e Schnftwelse) 13*/V »7'\ -* U “'4 5‘(Zuname) (V01-name) (Mhdchenname)Angabe aller anderen ]etzt 1n Deutschland lebenden AngehongenName Verwandtschaft Wohnort DP Statut (J8 oder nem)Prilhmg
Formula: Anlage IN1’ DP/El mugControl Commission Germany (B E) und U N R R A .1'1!-4J.Fragebogen lr DP Z 'C9 WAlter Geschlecht _ DP Auswexsk ' K Y/D U '\'v~-."\K) Land undGebu1-{sort (""15 ///-1 H 91$’! '/r’/A 1; b)
Geburtsdatum /Y ¢4"‘5‘§-“""' '1" _/N> ( (Tag, Monat, Jahr)a] Ihre Natlonalltat ~ ' ~°J‘ b) Ihre Rehggon >4 r Q1” /'1 $47‘?c) Was war am 31 August 1939 Staatsangehongkelt (*0 WY? ‘*/1% U9 Ihre gesetzhche Anschnft sf 0*
;PM’¥11_ / /6 p""‘-“/4 ?"£"'\a) Genaue deutsche Schrlftwelse Ihres Namens A/“5$‘1 I/‘/K f{“'*"*?f"b) Angabe aller anderen Namen unter welchen S18 bekannt waren oder wurdenName W0 angewandt DatumWas lst Ihr I-Iauptberuf
Professlon oder Beschaftxgung (oh 944- £1 Q‘ Q "Fiillen S18 unten aus, welche Arbelt Sle vernchteten, wo und als was (entweder Arbelter, Vor-arbelter, Beamter, Chef usw) fur ]€dES angegebene Jahr (mlt Anfang September
1939 bxs EndeMai 1945Jahr Art der Arbelt Beruf Stadt Land1939194019411942194319441945lcherg A ' 7-4_"'~'~¢('-A",'~¢. - ”_ W,“ .w \r+-11 1 \z-Cw C».//av '1' ,L,=,_,_,// -:.L,<_,;;,-,Q‘-.»r.-/.wL~',1u\»w1 UrOrganlsatlon (Armee,
p0l111SChen Partmen, Juge oder sonstlgen Orgamsauonen] habenS1e in den letzten zehn Jahren angehortEmgenommener GradName der Ornanlsanon Datum Hochster NledngstezWann haben Sxe Ihre Helmat verlassen v/6
WM 1*"/' / yuWarum? =CL."~'~"' "~ 4; *L"/>—4/'\‘-Wann smd Sle nach Deutschland gekomrn * "" *‘Warum? all I 7'*'*‘- ~ *"':'* 4' V‘10 Welchle deutsche Dlenststelle gab d1e Emwanderungserlaubms fur Deutschland?\¢./!§,.£‘¢ '5'-*/"» Y5»?-t n-7
Sind §ie nach Deutschland als Mitglied einer freiwillig organisierten Gruppe gekommen? ........ » '(3.-1) (neini vWurde Ihnen eine der folgenden Bescheinigungen ausgehéndigt, als Sie nach Deutschland kamen?(Schreiben Sie
,.ja" oder ,,nein" nach jeder Angabe]:a) Kennkarte fiir Umsiedler f) Riickkehrerausweis ‘ b) Umsiedlerausweis .... g) Stahtsangehérigkeitsz-iusweis c) Volkslistenausweis h) Reichsdeutsche Kennkarte d) Vorléuge Kennkarte i)
Fremdenpa ..... e) Volkstumsausweis j) Fliichtlingsausweis I3 Fiihren Sie alle anderen Ausweisdokumente an, die Sie in der Zeit vom Se tember 1939 bis Mal 1945Perhalten haben, einschlielich wo und wann ausgestellt
(Arbeitskarte und Arbeitsbuch 1uuB auchunten angegeben werden): *Name des Dokumentes Ausstellungsox-t—§ Ungeliihre Zeit der Ausgabe 4/4"Wurden Sie jemals in dieVolksliste eingetragen? (la) (nein)Wurden Sie jemals in
den folgenden Dienststellen registrieljt (Angabe eines X nach jeder Dlenstste1le): Ga)a) Volksdeutsche Mittelstelle b) Deutsches Volkslistenverfahren .... ..(nem)c) Einwandererzentralstelle . >1 . . . . . . . 4.. . _,§’d)
Reichskommissar f. d. Festigung deutschen Volkstums .... ..e) Deutsche Treuhéinder~Umsiedlungsgesellschaft . . . . . . . . . . . . . 4.4i) Rasse- und Siedlungsamt .... .. . Welche war Ihre EWZ-Nummer? Welche ist Ihre gesetzliche
Staatsangehfirigkeit jetzt; Wollen Sie deutsche Staatsangehérigkeit beanspruchen? (ia)a) Wurden Sie jemals von den Deutschen verfolgt wegen Ihre: Rasse: ‘ (ja) (nein)Religion politischen Uberzeaigung (ia) (nein) (ja) (nein)b)
Wenn die Antwort zu 19a bejahend ist, welcher Art war dann die Verfolgung:c) Geben Sie den Namen und Ort Ihres Konzentration agers an wie auch die Daten:Name Nummer Ort Datum vnm bisIch schwére, dass meine obigen
Angaben in bezug auf Richtigkeit und Genauigkeit nach memembesten Willen und Gewissen gemacht sind. ' *.. . /- ’P55 41183.3-45. 150M> Jjv . A»- ‘“
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DATEllFILM UNSATISFACTORYESSENTIALLY NEGATIVEUIICIEJSIGNIFICANT PATHOLOGY OTHERNON-SIGNIFICANT FINDINGSQUESTIONABLE FINDINGSPROBABLE T.B.ESSENTIALLY N EGATIVEUDDIIIUNON
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the result has been found X-H;_;>_49 _[\IEGATIVE._;._-.-_.-~-.3 '" . 'T‘\J Arum Q--<“»~"‘=Signaisuxy of La1?or:\ 0I_‘.>' t{M ‘ ‘>_H:_g,:\g.. Offiqial Q,-11-nun; ul. ta,» .