INTERPOL DVI Form - Missing Person. Month. See also 480 Specify elimination print sources on page Sup. Info. (700's) Not available

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1 AM : Administrative Data 00's Nature of disaster: Place of disaster: Date of disaster: ADMINISTRATIVE DATA 00 Responsible agency INTERPOL NCB: a b c Street /. Postcode / Town State / Country Police file : 0 0 Information given by Street /. Postcode / Town State / Country Relationship Street /. Postcode / Town State / Country Relationship Date: ID info to see 0 Partner If not single see 0 0 Fingerprinted 0 Source If not, are fingerprints obtainable from residence/workplace/ other 0 Address Single - If not, First- / Middle- / Family name of partner: Yes Where: Specify: Yes Date: See also 80 Specify elimination print sources on page Sup. Info. (700's) CHECKLIST OF CONTENTS Administrative Data (fields xx) minal data (fields xx) Effects (fields xx) Body description (fields xx) Pathology (fields xx) Odontology (fields 6xx) Supporting information (fields 7xx) Appendix (fields 8xx) (optional) Enclosed complete t available Remarks [(EN) Version 0] of

2 AM : minal Data 00's NOMINAL DATA a b 00 Family name at birth Mother's maiden name: c 0 Nicknames 0 Aliases 0 Alias Date of birth Birthplace 0 Alias Date of birth Birthplace First name: Place: First name: Place: Country: Country: Nationality Country: Multiple nationality: 0 Birthplace Place: Country: National ID number Number Issuing country Enter ISO 66- alpha- code (e.g. AUS for Australia) 0 Marital status Engaged (date) Cohabiting Married (date) If single see Divorced Widowed Occupation 0 Current physical address Street /. Postcode / Town State / Country Religion Mobile phone Yes (specify): [(EN) Version 0] of

3 AM : Effects 00's EFFECTS (possibly carried on person or in luggage) 00 Clothing Items : Type Head and neck 0 Headcover 0 Scarf 0 Tie 99 Other Colour Label Material Upper part of the body and arms 0 Blouse 0 Braces 0 Brassiere 0 Cardigan 0 Coat 06 Gloves 07 Overcoat 08 Pullover 09 Shirt 0 T-shirt Undershirt Waistcoat 99 Other Lower part of the body and legs 0 Belt 0 Shorts 0 Skirt 0 Socks 0 Stockings 06 Swimming attire 07 Tights 08 Trousers 09 Underpants 99 Other The whole of the body 0 Body suit 0 Dress 0 Religious/Cultural/ Traditional 0 Uniform 99 Other In case of using "x99 Other" describe the kind of item in column " Type". 0 Footwear : Type Colour Label Material 0 Boots 0 Open footwear 0 Shoes 99 Other Describe the kind of footwear in column " Type", e.g. sports shoes, sandals Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. [(EN) Version 0] of

4 AM : Effects 00's EFFECTS (possibly carried on person or in luggage) 0 Watch : Make Model 0 Digital wristwatch 0 Analog wristwatch 0 Digital/analog w. 0 If wristwatch, worn on 0 Watch strap/chain 06 Watch, other type Left Leather Where worn: Right Metal Outside Rubber Colour Inside Material Inscription a b c Glasses Make Model Colour Material Inscription 0 Frame 0 Lenses (glass) Self tinting Tinted Yes (specify): 0 Shape of lenses Round Oval Square Half Rimless Full rim 6 0 Lenses material/type Glass Polycarbonate Bi-focal Progressive 0 Contact lenses Yes (if coloured specify): Hearing aids 0 Left Yes (specify): Serial : 0 Right Yes (specify): Serial : 0 External prostheses Yes (specify): Serial : Jewellery : Type Colour 0 Anklet 0 Bracelets 0 Earclips 0 Earrings 0 Neck chains 06 Necklace 07 se ring 08 Pendant on chain 09 Wedding ring 0 Other rings 99 Other Material Inscription Where worn In case of using "99 Other" describe the kind of item in column " Type". Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. [(EN) Version 0] of

5 AM : Effects 00's EFFECTS (possibly carried on person or in luggage) 0 Identity documents : Nationality Number Details Biometrics Chip 0 Bank cards 0 Driving licence 0 Identity card 0 Passport 99 Other In case of using "99 Other" describe the kind of item in column " Details". Effects : Make Model Colour Material Serial. 6 Markings 0 Badges/keys 0 Bum bag 0 Currency 0 Diary/agenda 0 Purse 06 Ticket 07 Wallet 99 Other In case of using "99 Other" describe the kind of item in column " Model". 0 Electronic devices : Make Model Colour Material Serial. 6 Markings 0 Camera 0 Mobile phone 0 Music player 0 SIM 0 Tablet/handheld 06 Video 99 Other In case of using "99 Other" describe the kind of item in column " Model". Only use these colours: Black, Blue, Brown, Green, Grey, Orange, Pink, Purple, Red, White, Yellow,. Address : : : [(EN) Version 0] of

6 AM : Body Description 00's BODY DESCRIPTION (external) 0 Specific details : Head and neck 0 Head 0 Neck Torso 0 Torso front 0 Torso back 0 Genitalia 06 Buttocks Scars Piercings Tattoos Upper limbs 07 Right upper arm 08 Left upper arm 09 Right forearm 0 Left forearm Right hand Left hand : Skin marks Malformations 6 Amputations Lower limbs Right thigh Left thigh Right knee 6 Left knee 7 Right lower leg 8 Left lower leg 9 Right foot 0 Left foot 08 Height Min Max Min Max cm / cm ft in / Weight Min Max Min Max kg / kg lb / Slight Medium Large 6 Build 0 Hair of the head Natural 0 Type Short <6 cm /. in 0 Length 0 Dyed colour 0 Natural colour Shaved Blond Grey 7 Extensions ne/unknown Streaked Brown White 8 Hairpiece Medium < cm /.7 in Black Mixed grey 9 Red 6 Partial Total Forehead Sides 0 Baldness 06 Distinctive feature(s) Blond Grey Brown White 6 Black Mixed grey 7 Wig Red Describe (and use page Sup. Info. (700's) for details): 0 8 Implanted ft Long > cm /.7 in Tonsure lb in [(EN) Version 0] 6 of

7 AM : Body Description 00's BODY DESCRIPTION (external + fingerprint) Eyebrows 0 Distinctive feature(s) 8 Eyes 0 Colour (Left and Right) Blue L Black L R R Grey Hazel 6 Green Maroon 7 Cross-eyed Squint-eyed Artificial eye 0 Distinctive feature(s) L R L R Brown L R L R Pink 8 L R L R L R L R L R se 0 Distinctive feature(s) 6 Facial hair Shaved Moustache Goatee Whiskers 0 Type 0 Blond 0 Colour Grey Brown White 6 Black Mixed grey 7 Red 8 Full beard Ears Attached Pierced - specify number of piercings 0 Ear lobes/pierced Yes Left Right 0 Distinctive feature(s) Mouth/teeth 0 Distinctive feature(s) 8 Lips 0 Distinctive feature(s) Chin 0 Distinctive feature(s) 6 Neck 0 Distinctive feature(s) 60 Hands/nails 0 Distinctive feature(s) 6 Feet/nails 0 Distinctive feature(s) 68 Body/pubic hair 0 Distinctive feature(s) 7 76 Circumcision Ancestry European White Mixed (specify): Yes African Black Asian Other (specify on 6 page 700's) 80 Fingerprint 0 Number retrieved 0 Format 0 Development technique : Lifts Powder Digital photo Chemicals mm photo [(EN) Version 0] 7 of

8 AM : Pathology 00's PATHOLOGY 00 General practitioner Street /. Postcode / Town State / Country 0 Medical record lists : Specify 0 Diagnoses 0 Findings 0 Fractures 0 Hospitalizations 0 Operation scars 06 Organs missing 07 Prescriptions 08 Ref. to specialist 09 Symptoms 0 Treatments Other scars Other Addicted to 0 Alcohol Drugs Narcotics Tobacco Infectious diseases 0 AIDS/HIV Hepatitis Tuberculosis Other In women 0 Births Hysterectomy Intrauterine contraceptive devices Pregnancy Implants : Specify Serial. 0 Breast 0 Pacemaker 0 Insulin pump 0 Other surgical implants 0 0 Prostheses Other artificial aids Organs removed Yes (specify): Yes (specify): Yes (specify): [(EN) Version 0] 8 of

9 AM : Pathology 00's PATHOLOGY (DNA related information) Reference Type of Missing person sample: (Direct reference) Date of sample: DNA-profile Biobank Laboratory reference: Personal belonging (specify): FAMILY TREE OF BIOLOGICAL RELATIONSHIPS Add a Ref-. of the relative on tree. Add any information, not represented on biological relationships family tree, on page Sup. Info. (700's). 60 Family Reference : (s): National ID-number: Laboratory reference: Relationship (Please mark the reference of the family tree) Family Reference : Type of sample: (s): National ID-number: Date of sample: Laboratory reference: Relationship (Please mark the reference of the family tree) Family Reference : Type of sample: (s): National ID-number: Date of sample: Laboratory reference: Relationship (Please mark the reference of the family tree) Type of sample: Date of sample: [(EN) Version 0] 9 of

10 AM : Odontology 600's ODONTOLOGY 600 Dentist/clinic Street /. Postcode / Town State / Country 0 Period covered 0 Enclosed Records Radiographs From: Casts Photos To: 60 Dentist/clinic Street /. Postcode / Town State / Country 0 Period covered 0 Enclosed 6 Dental images available 0 PA 0 BW Records Radiographs From: Casts Photos To: Digital State number of n digital State number of 0 OPG 0 CT 0 Other radiographs 06 Photographs 60 Further material [(EN) Version 0] 0 of

11 AM : Odontology 600's ODONTOLOGY 60 Dental findings (for primary teeth change specific FDI code) RIGHT LEFT Specific data 0 Specify Crowns Dentures Other Pontics Implants a b c 60 Other findings 0 Specify Occlusion Tooth wear Periodontal status Supernumeraries Stains 6 Other 6 Type of dentition 0 Specify Primary dentition Mixed dentition Permanent dentition 60 Quality check Date: Signature: FOd FOd : FOd (If available) Date: FOd : Signature: [(EN) Version 0] of

12 AM : Supporting information 700's SUPPORTING INFORMATION (if referring to data given on a previous page, please indicate field number) 700 Field. Description 70 Additional Supporting Information page (700's) Yes [(EN) Version 0] of

13 AM : Appendix 800's 80 APPENDIX DNA 80 Typing Laboratory : Address: City: Date of sample: 8 Laboratory Standards Accredited according to: 80 STR kit(s) used (s) of kit(s) used: t accredited 8 DNA VWA TH0 DS FGA D8S79 DS8 D8S Amelogenin TPOX CSFPO DS7 D7S80 DS88 D6S9 DS8 D9S Penta D Penta E DS66 DS D0S8 DS0 DS9 SE D6S0 Missing person Reference - Ref.no: Add any information not represented of the markers above, using c-column/page 700's Supporting information. 80 Additional DNA profile page (80-8) Yes [(EN) Version 0] Appendix

14 AM : Appendix 800's 8 APPENDIX BODY SKETCH (for optional use) RIGHT LEFT [(EN) Version 0] Appendix