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A field with a * is mandatory

Add New Record

Category * Please check whether the record you are adding is for: a survivor, a survivor searching my identity, or looking for a survivor.
Last name
(of person whose record you are adding). If you don't know then put 'unknown'.
First name
(of person whose record you are adding). If you don't know then put 'unknown'.
Other names
names you were known by during the War, maiden name, nickname, Jewish name or pet name. You may enter any or all of these names, but put a COMMA between each name.
Date of birth Day Month Year
City of birth
Country of birth
Last Place
Last place known to be during the War.
Mother's name
Last name, first name (put a COMMA between last name and first name)
Father's name
Last name, first name (put a COMMA between last name and first name)
Relatives
Names of brother(s), sister(s), cousin(s), aunt(s), uncle(s)
Remember
List any recollections or other information

About You

The following information will not be available to the public. We need it in the event that someone wants to contact you.

Supplied by *
First and last name
Email *
Your Email address (if this changes, please update your record)
Address
Phone
Fax
Password *
You need to enter a password. It should be 4-8 characters in length, and something you can remember. This password will allow you to modify or delete this record in the future. Use the same password for all records you add to the Registry.

By your submission (saving this record), you agree to allow public access to the information contained in fields: category, last name, first name, other names, day/month/year of birth, city, country, last place, nickname, mother, father, relatives, remember, and url on Holocaust Name's website.




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