Directions for filling out the form properly:
Please fill out detailed information on victim. If a detail is unknown / unavailable, please enter "unknown".
A * denotes a required field.
In most fields it is possible to enter more than one item per victim, e.g., more than one first name.
Please fill out one form per victim.
Is the request for judicial purposes (e.g. reparation, restitution of property, etc.)?
YES  NO

    Requester's personal details:   
Family name:*
First name:*
Address:
City:
Country:*
Zip Code:
E-mail:*
Fax:
Telephone:
Relationship to the victim:
    Details of the person being searched:   Name before and during the War
Family name:*
First name:*
Maiden name:
Date of birth: Year: Month: Day:
Sex:
Place of birth:
Father's name:
Mother's name:
Place of residence before war:*
Marital status during war:
First name of spouse:
Maiden name of spouse:
Place of residence during war:
Incarceration places (Ghettos, Concentration Camps):
Prisoner number:
    Details of victim after the War (if relevant):   
Family name:
First name:
Places of residence immediately after War:
Date of Aliya/immigration:
Place of residence in country of immigration:
    Additional details/information (FREE TEXT):