Surname, first name*

Rank

Age

Last Office

Years Of Service

City (of the incident)*

Life Partner

Children

Cause Of Death*

Date Of Death*

Circumstances Of Death*

Source(s)

Newspaper, Internet etc.

Your E-Mail Address

The e-mail address will not be published and not stored. It will only be used for possible queries and/or to inform you when your contribution has been published.

*Mandatory information