גבעת התחמושת אתר הנצחה לציון שחרורה ואיחודה של ירושלים במלחמת ששת הימים

Veterans Form

personal details first name + nickname :
surname (current) :
surname (former) :
date of birth :
country of birth :
father's name :
mother's name :
address at service time :

current address :
phone :
cell :
fax :
email :

service details date of enlisment :
date of discharge :
service number :
ID number :
rank at discharge :
which army :
what branch :
details of service(which countries, fronts , etc.) :

details of the party filling in the form

If the questionnaire is being filled by someone who is not the soldier, give details.

details :

first name :
surname :
relationship :
address :
phone :
cell :
fax :

details details of close relations(spouse, offspring, sibling) :

details of service(army, underground, partisans or other):
length of service, battles and other major events, courses, positions, citations, injuries, POW, falling in battle etc...

remarks, recommendations :

If you possess document, certificates, pictures, objects that we can copy, photograph or scan and return, please give details and we will contact you. In addition, if you know of books (in any language) on this topic please give us details so we can trace them.

If you know of other veterans associations, institussions,archives, museums, which have data on jewish veterans please inform us

Have you filled out questionnaire on this topic in the past?

yes no

Note: the information in this questionnaire will be entered into our database

Our address, email, etc. can be found at the bottom of the page.