3
7. Have you previously been a citizen of any other country?
No
( Yes or No.)
If so, list on table below the country
or countries of which you have been a citizen, the periods of your citizenship in each and the methodsby which you acquired such citizenship.
COUNTRY
PERIOD OF CITIZENSHIP
METHOD OF ACQUIRING CITIZENSHIP( check one)
From( year)
To( year)
Birth
Naturalization
Otherwise( state how)
8.( a) What is your father's full, true name?
THEODOR( First)
GROSS ZETTERITZ
( b) Where was he born? NEAR LANDSBERG ON THE WARTHE
( Middle)PRUSSIA
( Province or state)
( Town or city)
( c) When was he born?
OCT
( Month)
8( Day)
1842
( Year)
( d) Where does he now live?
DECEASED( Street and number)
( Province or state)
( Town or city)
( Country)
( Country)
( e) Of what country is he at present a citizen?
DECEASED
9.( a) What is your mother's full, true name? HENRIETTE
( First)
( Middle)
( b) Where was she born?
SOLDIN
PRUSSIA
( Town or city)
( Province or state)
( c) When was she born?... JAN
31 1846
( Month)
( Day)
( Year)
( d) Where does she now live?
DECEASED
( Street and number)
( Province or state)
( Country)
GOHLKE
( Last)
( Country)
( Country)
( e) Of what country is she at present a citizen?
DECEASED
( Country)
10. In what places have you resided for more than 1 year at a time since the time of your birth?
CITY OR TOWN
PROVINCE OR STATE
COUNTRY
Month
FROM-
Year
Month
To-
Year
LANDSBERG PRUSSIA
BERLIN PRUSSIA
1906
1906
MARCH 1913
MAY
1933
PRUSSIA GERMANY MARCH 1917( If needed, use blank sheet at the end of form and mark your answer" Question 10") CONTINUED PAGE21
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