07-15-2012, 08:12 PM
Record card of an awardee
Duplicate from another card
Form nr. 1
(To be filled out using a typewriter, without corrections)
(Date and location of issue of the award; republic, krai, oblast, city, raion)
(To be filled out using a typewriter, without corrections)
(Date and location of issue of the award; republic, krai, oblast, city, raion)
1. Last name: Movsyusyan
2. First name and patronymic: Onik Isakovich
3. Nationality:
4. Sex:
5. Year of birth: 1911
6. Place of birth:
7. Education: higher, unfinished higher, special secondary, secondary, elementary (underline what’s relevant)
8. Party affiliation:
9. Duty position, profession, military rank (for servicemen), place of work or service at the time of the award (ministry, department, institution, enterprise, organization): Private, mortar gunner in the 404th Rifle Regiment, 176th Rifle Division
10. Home address of the awardee: Tbilisi, Georgia, Kalinin St. 101.
11. Awards issued:
Medal for Bravery 564128 Temporary certificate A-065512 Order of the 404th Rifle Regiment nr. 131/N of October 3, 1943
Signature of the awardee:
I confirm the correctness of the data and the signature of the awardee (duty position, signature):
12. Remarks:












