Карточка-извещение о взятии в плен (англ.)
Annex IV (Geneva, 12.VIII.1949)
B. CAPTURE CARD
(see Article 70)
1. Front ------------------------------------------------------------------ ¦ -------------- ¦ ¦PRISONER OF WAR MAIL ¦Postage free¦ ¦ ¦-------------------- -------------- ¦ ¦ CAPTURE CARD FOR PRISONER OF WAR ¦ +----------------------------------------------------------------+ ¦ ¦ ¦ ¦ IMPORTANT ¦ ¦ ¦ This card must be¦ ¦ ¦completed by each prisoner¦ CENTRAL PRISONERS ¦ ¦immediately after being taken¦ OF WAR AGENCY ¦ ¦prisoner and each time his¦ ¦ ¦address is changed (by reason¦ INTERNATIONAL COMMITTEE ¦ ¦of transfer to a hospital or¦ OF THE RED CROSS ¦ ¦to another camp). ¦ ¦ ¦ This card is distinct from¦ GENEVA ¦ ¦the special card which each¦ ----------- ¦ ¦prisoner is allowed to send¦ SWITZERLAND ¦ ¦to his relatives. ¦ ¦ ------------------------------+----------------------------------- 2. Reverse side ------------------------------------------------------------------ ¦Write legibly and in 1. Power on which the ¦ ¦block letters prisoner depends ______________ ¦ +----------------------------------------------------------------+ ¦2. Name 3. First names (in full) 4. First name of father ¦ ¦________________________________________________________________¦ ¦5. Date of birth ___________ 6. Place of birth _________________¦ ¦________________________________________________________________¦ ¦7. Rank ________________________________________________________¦ ¦8. Service number ______________________________________________¦ ¦9. Address of next of kin ______________________________________¦ +----------------------------------------------------------------+ ¦ 1 10. Taken prisoner on: (or) ¦ ¦ Coming from (Camp N, hospital, etc.) ______________________¦ ¦11. (a) Good health - (b) Not wounded - (c) Recovered - (d) ¦ ¦ Convalescent - (e) Sick - (f) Slightly wounded - (g) ¦ ¦ Seriously wounded. ¦ +----------------------------------------------------------------+ ¦12. My present address is: Prisoner N __________________________¦ ¦ ¦ ¦ Name of camp _______________________________________________¦ ¦ ¦ ¦13. Date ___________________ 14. Signature _____________________¦ +----------------------------------------------------------------+ ¦ 1 Strike out what is not applicable - Do not add any¦ ¦remarks - See explanations overleaf. ¦ ------------------------------------------------------------------
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: 15 by 10,5 centimetres.
Источник - Женевская конвенция от 12.08.1949