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Front & back: Document with columns of printed text in German, Russian, and Polish. Further information: This Ukranian document lists the specific items that identify a person as Jewish. The final paragraph is a statement to be given denying Jewish ancestry.
Information Provided by Michael D. Bulmash:
Sworn affadavit of non-Jewish ancestry. Ukrainian. July 7, 1940. Typed document printed in German and Polish, listing the specific items which identify a person as Jewish. Beneath is a statement to be given denying Jewish ancestry according to aforementioned Paragraphs 1 and 2. The affidavit concludes: The "provisions of Paragraphs 1 and 2 shall apply accordingly."
7 7/16 x 8"
"Sworn Ukrainian Affidavit of Non-Jewish Ancestry" (1940). Bulmash Family Holocaust Collection. 2014.1.33.