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" " [., .] ( " ", " ", ", " " , ...") ( . 12.08.1949)





can
it be found later by the
relatives? _______________________________
Are the personal effects of _______________________________
the deceased in the keeping of _______________________________
the Detaining Power or are they _______________________________
being forwarded together with _______________________________
this notification? _______________________________
If forwarded, through what
agency? _______________________________
Can the person who cared for _______________________________
the deceased during sickness _______________________________
or during his last moments _______________________________
(doctor, nurse, minister of _______________________________
religion, fellow prisoner) give _______________________________
here or on an attached sheet a _______________________________
short account of the _______________________________
circumstances of the death and _______________________________
burial? _______________________________

(Date, seal and signature of Signature and address of two
responsible authority.) witnesses

L
----
Remarks. - This form should be made out in two or three languages, particularly in the prisoner's own language and in that of the Detaining Power. Actual size of the form: 21 by 30 centimetres.

E. REPATRIATION CERTIFICATE

(see Annex II, Article 11)

REPATRIATION CERTIFICATE

Date:
Camp:
Hospital:
Surname:
First names:
Date of birth:
Rank:
Army number:
P. W. number:
Injury-Disease:
Decision of the Commission:
Chairman of the
Mixed Medical Commission:

A = direct repatriation
B = accommodation in a neutral country
NC = re-examination by next Commission






Annex V

MODEL REGULATIONS
CONCERNING PAYMENTS SENT BY PRISONERS
TO THEIR OWN COUNTRY

(see Article 63)

1. The notification referred to in the third paragraph of Article 63 will show:
(a) Number as specified in Article 17, rank, surname and first names of the prisoner of war who is the payer;
(b) The name and address of the payee in the country of origin;
(c) The amount to be so paid in the currency of the country in which he is detained.
2. The notification will be signed by the prisoner of war, or his witnessed mark made upon if it he cannot write, and shall be countersigned by the prisoners' representative.
3. The camp commander will add to this notification a certificate that the prisoner of war concerned has a credit balance of not less than the amount registered as payable.
4. The notification may be made up in lists, each sheet of such lists witnessed by the prisoners' representative and certified by the camp commander.

* * *

On signing the Convention relative to the Treatment of Prisoners of War, the Government of the Union of Soviet Socialist Republics makes the follo



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