White paper bearing printed or stamped text in blue ink; recto:"JUEDISCHE GHETTO-POLIZEI/..REVIER./Nr../Einmeldungsbericht/Am..1942 ist eingezogen:/Familienname.. Vorname../Name des Vaters..Alter../Ausweis Nr.. Woher../Wohnstadt.. Str. Nr../Meldebeamter.."
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The form was acquired by the United States Holocaust Memorial Museum in 1995.
overall: Height: 2.990 inches (7.595 cm) | Width: 4.130 inches (10.49 cm)
Jewish police registration form from the Kovno ghetto