In memory of:

Rank Name SURNAME

Date of Death

Military Service

Service Number:

Age:

Force:

Unit:

Company / Squadron:

Division:

Military Honours and Awards:

Additional Information

Date of Birth:

Residence:

School Path:

Family Members :

Parents:

Brothers and Sisters:

Wife:

Children:

Picture

Picture

Picture

Picture

Picture

Picture

Burial Information

Cemetery:

Grave Reference:

Personal Inscription:

Location:

Previous Place(s) of Burial

Location:

Date of Reburial:

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