КАРТОЧКА - ИЗВЕЩЕНИЕ О ВЗЯТИИ В ПЛЕН (АНГЛ.)

Annex IV
(Geneva, 12.VIII.1949)
B. CAPTURE CARD
(see Article 70)
1. Front
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¦ -------------¬ ¦
¦PRISONER OF WAR MAIL ¦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. ¦ ¦
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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. ________________________¦
¦ ¦
¦ Name of camp _______________________________________________¦
¦ ¦
¦13. Date ___________________ 14. Signature _____________________¦
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¦ <*> Strike out what is not applicable - Do not add any¦
¦remarks - See explanations overleaf. ¦
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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: 15 by 10,5 centimetres.