Marked Individual T-140 Nickname Me!

Marked Individual T-140

Nickname:

Nickname:

✓ X

Nicknamed by:

✓ X

Sex: female

Sex:

Unknown male female

✓ X

Date of Birth

This field takes a date in the ISO 8601 standard format.

Leave blank if unknown.

Date of Birth:

✓ X

Date of Death:

This field takes a date in the ISO 8601 standard format.

Leave blank if unknown.

Date of Death:

✓ X

Alternate ID: None

Alternate ID:

✓ X