Testimony Form

First name of Victim
Family name of Victim
Previous family name
Spouse name
Birth date or app. age
Victim’s mother name
Victim’s father name
Birth place
Victim’s profession
Wartime residence of Szatmar
Death circumstances
Reported name
Reported address
Reported relationship to victim
E-mail
Free text



Address
George Elefant
Bar Lev Haim 203/3
Tel Aviv 67291
Email: egyur@yahoo.com