The purpose of this Form is to collect the names of the child victims (under the age of 18) who
died in the Holocaust and were the citizens of Hungary. Our objective is to clarify the fate of
infants, young children and teenagers and preserve their memory.

Please complete a separate form for each child victim you may have knowledge about!

By completing the form you consent to the Children of Saul Commemorative Program's and the
Hungarian Jewish Museum and Archives' right to manage and use your data.

Personal details of the data providers will be handled confidentially.

Personal details of the child victim

Family name and first name:

Other known names (e.g. maiden name, original name, etc..):

Date of birth (year/month/day):

Place of birth (name of town/village):

Presumable age of death:

Last known address prior to deportation (town/village, street, house number):

Education, educational qualifications, if applicable, work, if applicable:

Photos and related documents

If you have any photos or documents of the victim, please attach them below.

Family details

Father: name, place of birth, date of birth and profession:

Mother: name, place of birth, date of birth and profession:

Name and age of siblings:

Persecution-related details

In which Hungarian ghetto/detention/collection center was he/she rounded up before deportation?

From where was he/she taken to the ghetto/detention/collection center? (name of town/village):

Date of deportation: (year/month/day):

Name of concentration camp/work camp where the victim was taken):

Circumstances of death/disappearance

(E.g. where was he/she last seen? Place and date of presumed death, cause of death, source of information, etc.):

Reporter details

Full name of the reporter:

Postal address:

E-mail address:

Phone number (00-country code-phone number):