Извещение о смерти военнопленного (англ.)

Annex IV (Geneva, 12.VIII.1949)

D. NOTIFICATION OF DEATH (see Article 120)
------------------------------------------------------------------
¦(Title of responsible               NOTIFICATION OF DEATH       ¦
¦   authority)                                                   ¦
¦                                                                ¦
¦                         Power on which the                     ¦
¦                         prisoner depended _____________________¦
¦                                                                ¦
¦Name and first names ___________________________________________¦
¦                                                                ¦
¦First name of father            ¦_______________________________¦
¦Place and date of birth         ¦_______________________________¦
¦Place and date of death         ¦_______________________________¦
¦Rank and service number         ¦                               ¦
¦(as given on identity disc)     ¦_______________________________¦
¦Address of next of kin          ¦_______________________________¦
¦Where and when taken            ¦                               ¦
¦prisoner                        ¦_______________________________¦
¦Cause and circumstances         ¦                               ¦
¦of death                        ¦_______________________________¦
¦Place of burial                 ¦_______________________________¦
¦Is the grave marked and can     ¦                               ¦
¦it be found later by the        ¦                               ¦
¦relatives?                      ¦_______________________________¦
¦Are the personal effects of     ¦_______________________________¦
¦the deceased in the keeping of  ¦_______________________________¦
¦the Detaining Power or are they ¦_______________________________¦
¦being forwarded together with   ¦_______________________________¦
¦this notification?              ¦_______________________________¦
¦If forwarded, through what      ¦                               ¦
¦agency?                         ¦_______________________________¦
¦Can the person who cared for    ¦_______________________________¦
¦the deceased during sickness    ¦_______________________________¦
¦or during his last moments      ¦_______________________________¦
¦(doctor, nurse, minister of     ¦_______________________________¦
¦religion, fellow prisoner) give ¦_______________________________¦
¦here or on an attached sheet a  ¦_______________________________¦
¦short account of the            ¦_______________________________¦
¦circumstances of the death and  ¦_______________________________¦
¦burial?                         ¦_______________________________¦
¦                                                                ¦
¦(Date, seal and signature of     Signature and address of two   ¦
¦responsible authority.)          witnesses                      ¦
¦                                                                ¦
------------------------------------------------------------------
Remarks. - This form should be made out in two or three languages, particularly in the prisoner's own language and in that of the Detaining Power. Actual size of the form: 21 by 30 centimetres.



Источник - Женевская конвенция от 12.08.1949