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Request form to ask for a Kennkarte for a Polish woman from Falkenburg now Zlocieniec

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Interesting request form to ask for a Kennkarte to be issued to a Polish woman of the occupied city of Złocieniec (Falkenburg in German name ) . This document was to be filled in by the Police authority of the city in question, and it came with all her information and her photo. In very good condition and with nice stamps from the city of Falkenburg kreis Dramburg.