Form suggested by Herr Krohne to be filled up by the police or other agency respecting prisoners for trial.
- 1. BIRTH.
- Place? County? Country?
- Date?
- Legitimate? or illegitimate?
- 2. UPBRINGING.
- By parents?
- By others?
- In a public institution?
- 3. SCHOOLING.
- School attendance, regular or not?
- Knowledge, Extent of?
- Confirmed, or not?
- Religious belief?
- 4. OCCUPATION.
- What trade?
- Served Apprenticeship, or not?
- 5. MILITARY TRAINING.
- Whether served? and where?
- 6. IMPRISONMENTS.
- How many?
- In Local Prisons?
- In Penal Servitude?
- Other Punishments?
- 7. PARENTAGE.
- Name? Abode? Occupation?
- Alive or Dead?
- Cause of death? Suicide?
- Temperate, or not?
- Imprisoned, or not?
- Were Parents related?
- 8. BROTHERS AND SISTERS.
- Name? Age? Abode?
- Occupation?
- How many dead? and of what diseases? Suicide?
- Imprisoned, or not?
- Temperate, or not?
- 9. MEANS OF LIVING.
- With or Without?
- Destitute?
- A Pauper?
- A Beggar?