RelatioNet AA BB 11 CC DD Full Name (survivor) Interviewer: Full Name/s Telephone: +972-972-09-0000000 Fax: +972-972-09-0000000 Mobile: +972-972-052-3333333 Email: aaa@bbbbbb.net ICQ: No Messenger: No Address: Town Country Survivor: Code: RelatioNet AA BB 11 CC DD Family Name: Family First Name: First Name Middle Name: Middle Name Father Name: Father Name Mother Name: Mother Name Birth Date: 1/01/1925 Town In Holocaust: Town Country In Holocaust: Country Profession (Main) In Holocaust: Profession Status (Today): Alive/Dead If Dead - Death Place: Town Country Death Reason: Death Reason Year Of Death: Year If Alive - Address Today: Town Country Email: aaa@bbbbbb.net Relatives: Code: RelatioNet AA BB 11 CC DD Family Name: Family First Name: First Name Middle Name: Middle Name Father Name: Father Name Mother Name: Mother Name Relationship (to Survivor): Relationship Birth Date: 1/01/1925 Town In Holocaust: Town Country In Holocaust: Country Profession (Main) In Holocaust: Profession Status (Today): Alive/Dead If Dead - Death Place: Town Country Death Reason: Death Reason Year Of Death: Year If Alive - Address Today: Town Country Email: aaa@bbbbbb.net

Code: RelatioNet AA BB 11 CC DD Family Name: Family First Name: First Name Middle Name: Middle Name Father Name: Father Name Mother Name: Mother Name Relationship (to Survivor): Relationship Birth Date: 1/01/1925 Town In Holocaust: Town Country In Holocaust: Country Profession (Main) In Holocaust: Profession Status (Today): Alive/Dead If Dead - Death Place: Town Country Death Reason: Death Reason Year Of Death: Year If Alive - Address Today: Town Country Email: aaa@bbbbbb.net