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.