[NOT ENTERED] [NOT ENTERED]
Details
| Forename | |
|---|---|
| Surname | |
| Middle Name | |
| Memorial | |
| Age | |
| Address | |
| Parents' Address | |
| Township | |
| Rank | |
| Occupation or place of work | |
| Regiment | |
| Day of Death | |
| Month of Death | |
| Year of Death | |
| Cause of Death | |
| Place of Burial | |
| Regiment Number | |
| Name of War | |
| Location | |
| Additional Information |
