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" " [., .] ( " ", " ", ", " " , ...") ( . 12.08.1949)
L------------
Name _________________________________________
First names __________________________________
Date and place of birth ______________________
Accompanies the Armed Forces as ______________
Date of issue Signature of bearer
_____________________________ ___________________________
L
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Remarks. - This card should be made out for preference in two or three languages, one of which is in international use. Actual size of the card: 13 by 10 centimetres. It should be folded along the dotted line.
B. CAPTURE CARD
(see Article 70)
1. Front
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21:13 13.07.2005 Postage free
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CAPTURE CARD FOR PRISONER OF WAR
+-----------------------------T----------------------------------+
IMPORTANT
This card must be
completed by each prisoner CENTRAL PRISONERS
immediately after being taken OF WAR AGENCY
prisoner and each time his
address is changed (by reason INTERNATIONAL COMMITTEE
of transfer to a hospital or OF THE RED CROSS
to another camp).
This card is distinct from GENEVA
the special card which each -----------
prisoner is allowed to send SWITZERLAND
to his relatives.
L-----------------------------+-----------------------------------
2. Reverse side
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Write legibly and in 1. Power on which the
block letters prisoner depends ______________
+
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2. Name 3. First names (in full) 4. First name of father
________________________________________________________________
5. Date of birth ___________ 6. Place of birth _________________
________________________________________________________________
7. Rank ________________________________________________________
8. Service number ______________________________________________
9. Address of next of kin ______________________________________
+
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<*> 10. Taken prisoner on: (or)
Coming from (Camp No., hospital, etc.) ____________________
11. (a) Good health - (b) Not wounded - (c) Recovered - (d)
Convalescent - (e) Sick - (f) Slightly wounded - (g)
Seriously wounded.
+
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12. My present address is: Prisoner No. ________________________
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