post mortem form

7/23/2019 post mortem form

1/13

f-,t\

-

\i

---

DTSASTER

VtCTtM

tDENTIF|CATION

(DVt)

HOW

TO

USE THE YELLOW

ANTE-MORTEM

(AM)

FORM

Please

write

legibly.

I.

GENERAL INSTRUCTIONS

The

AM

Form

is

designed

for

listing

any information

that may

be

obtained from

relatives,

friends

andlor

physicians

of

the

possible

victim

or

missing

person

and that may

assist

in

an

identification,

in

order to

compare that information

with

the

data obtained

from the

dead

bodies on the

disaster

site.

IMPORTANT:

Record

all

information

obtainable

on the

form,

since

it

is impossible

to

know

what

data

will be

obtained from

disaster

site.

NOTE: It

is important

to

obtain

and

forward

detailed

information

as

rapidly

as

possible.

Where

provided,

use the

appropriate figures

for

description.

E)GMPLE:

Section

C1: Fill in

the figures

"0203'

in

the

"No."

column

at

item

24

to designate

a

pullover

and

describe

the material,

etc.

ln the

space

provided

for this information.

Wherever

appropriate,

boxes that

can

simply

be

marked

with

a cross

are

provided.

Please

use as

many

of them

as

possible,

This

will

facilitate

electronic

processing

of the information

and

also make

it

possible

to

handle

reports

compiled in

a

foreign

language

without

translation

(the

lnterpol Member

States

all

use the

same

forms).

For

this

reason,

the

layout

is

the same for

the AM

and

PM

Forms.

Because

of

this identical layout,

some

numbered

spaces

are

left

blank

(e.g.

item

31

in

section D1: This is

the

space

provided

for

the

description

of the

state of the body on the

pink

PM Forms).

II.

SPECIFIC

INSTRUCTIONS

Section A1 & A2

Section

B

Sections C1 to

C3

Personal

data

of the

possible

victim

or

missing

person.

Not applicable here (section

B

of the

pink

form

is the

report

on the

recovery

of the

body

from

the

site).

Description

of

effects

(clothing,

jeweltery,

etc.

).

l(Ga)

Vers,,,:,)r8l


2/13

Section

D1

to

D3

Physical description.

Section

D4

Record

any

distinguishing

marks

(tattoos,

etc.).

Section

D5

Record

any

fingerprint

information.

Section E1

to E4

List any

medical

information

that

may assist

in

identification.

Section F1 &

F2

Dental

information

(cf.

instructions

on the

back of Section

Fl

).

Section

G

Record

any

further information that may assist

in

identification,

and/or continue

your

description

from

a

previous

section

(C

to

F) if

there was not

enough space.

It should be born

in mind

that

photographs

of the

clothing,

jewellery,

etc.

described in various

sections may

be of

valuable

help

for comparison with items found

on

the

disaster site. Please attach

such

photographs,

if available.

l{CB)

Versron

2tJ08l


3/13

Ant"M

o.r*

$ellow)

VICTIM IDENTIFICATION

FORM

AO

MISSING

PERSON

No:

i':

Forename(s)

I

't

"

Male Female

T

ate

of

birth

'

f,;E1ouv

m

Mo"tr'

ITTilITI

Y',a'

ptace

of disaster

:

.

.

:

,,

l.-,

,

-.

;.u.

.,

.:

.

Date of disaste

r

FE;1ouv

[ElFluon'n

IFT|T{- ll

v"u.

I

Ilr

T

-

+.

1

,lI

Police

force handling identification:

NCB

(country)

Pr:lice file No

Reasons

for

assuming

that

person

concerned

is

victim

of disaster:

Police offlcers evaluation

ls

above

person

a

victim?

ln

Posstbtv

l

f

croaaatv

|

1

unaouoteau

DNA

7

Rerer.nce samples cotlecled

I

l

Profites

ordered

CHECK

LIST OF CONTENTS

Enclosed

completo

Enclosed

n

Dad

/ssued

lo

Name

Dale

Retumed

Date

Remarks

A1

lnfo.

rolaUng to

H.P.

A2

lnfo.rolr.to r{.P,cont.

cl

Clothlng

and Foot wcar

c2

Psruonal

cffccls

c3

Jewellery

D1

Physical description

I

D2

,hylsical

desc. cont.

I

I

D3

Phltlcal

dGtc. cont.

D4

Body skatch

D5

Flngcrprlnt

lnformatlon

E1

IilcdlcEl lnformatlon

I

I

E2

Medlcal

lnform.

cont.

E4

DNA

F1

)ental

information

F2

Dcntal inform,cont.

G

Furthcr infomatlon

l{GB)

Verson 2m8l

'1.'


4/13

MISSING

PERSON

No:

r'1...

Family

name

Forename(s)

Date

of birth

fl]l

",

tI

nzoutr,

[:TT]T]

vea,

Male

tr

Female

D

AntuM

orr"- $ellow)


FORM

a

=

Data

not

available

A1

't

information

on

I

,-1

.

t]1

I

i

rl,,

t

)

?

INFOI{MATION

RELATED

to

MISSING PERSON

(cont.

lnformation given

by..

Of;

Name

Address

Phone/E+nail

Relationship

Family name at birth

Birlltplaco

I

Dual/Mullryle nationalily

National

lD

number

Country code

Name in Chinese

Commercial

Code

Day

lp

l,*."_lMonth l; l.r[;y]:lYear

fjliltseatd,sap.

3E

.X

Forename

of

paftner:

Full addrece

StreeUNo.

Postcodeffom

Country

1

| |

Nrr 2

| ,)

Ycs (nttntt:

ol

rolsrort)

Name

Address

Phone/E+nail

Relationohip

Close

relatNes known

or

reference

t

l-lllio

2

[-l

Yes -

see

page

G

Collected

bY

outy

Title

Name

Address

Phone/Eflail

Signature

/

Oate

ttl

'lir.:

l'i

{'l

l(GB) Vereon

2d)81


5/13

A-'

MISSING

PERSON

Family

name

r

iri',

No:

{:c'1

Forename(s)

:

'

''

Date

of

birth

:

FTI]

on,

ro

M,,,tr,

[TT4TlI]l

N,,,,

Male

tr

Fomale

f,

An,"Mo.t"-

gettow)

VICTIM

IDENTIFICATION

FORM

a

=

Data not

avarlablo

b

.

Photo

c

=

Further

inlomatron

on

oaoe G

A2

+

+

on

INFORMATION

RELATED

to MISSING PERSON

(cont.)

a

b

c

15

General

practitioner

N;rrne

Aririrrrss

Plrorrc/E

rrurrl

i

I

n.

li

i'":

't6

General dentist

Name

Address

Phone/E-mail

riI

17

Distinguishing

features

18

Photographs

1

fl

Enclosed

2

TObtainabte

rront

f

fffroro

suilable

lor

dental overlay

Record dalc

19

Documents

01

Offrcial

records

02 Polrce

rccords

03 Practrtioners

records

04

Hospital

records

05 HosJrtal

X+ays

06

Dental records

07 Dental

X{ays

08

Dental

plate

lD-rtumbers

09

Other

records

l

flEnctosed

2

TOilatnabte

trom

l

flncktsotl

2

VObtatnabtc

tn:nt

l

fTnctosed

2

Vobtainabte

rrom

,

G,."::'*

2

nouainabte

rrom

'l

Wnclosad

?

VObtatnabtt:

tront

1

f-Tnc/osed

?

Vobtainabte

rrom

1

l-lEnc/osed

2

flObtainabte

trorn

(specify):

(specify)

{,,qt1 lnued

item

no

24

(ltem

2O-23 in form

PM

only)

,+.

H

Y

+

Collected

by

DutY Title

Name

Address

Phone/E-mail

Signalure /

Date

l(Ga)

Vd tr

2ur8l


6/13

AntuM

o.ru.

$ellow)


FORM

c1

+

MISSING

PERSON

No:

Family

name

Forename(s)

Date

of birth

-:'

ffl,,, tI

uontn

lfTT-1ys6,

Male

n

Female

n

c

=

Further

information on

Collected by

outY

Title

Name

Address

Phone/E+nail

Siqnature /

Date

{(GA)

\'miq'

2m8l


7/13

An,"M

on".

Qellow)

VICTIM

IDENTIFICATION

FORM

.+t

?

4,

+

L

#

Y

MISSING

PERSON

Family name

Forename(s)

Date

of

birth

ffi

",

tlMontir

l'lrTJll

vs3.

PERSONAL

EFFECTS

Watch

00 Always

wearing

01 Digital

02 Analog

03

Digital/Analog

(X

lf wrist

watch worn

on

05 Watr;h

strap/dlain

06 Watch.

0urer type

Lefl Rtcthl

r$

z[

Laathil Metdl

rfl

z[

Where

worn.

" a'

'

Glasses

00

Always

wearing

01

Frame

02 Lenses

(glass)

03

Lenses/Shape

3A

Lens lypc

M

Conlar;t lerrses

05

Optornetnst

1 Material

t2

Colour

t3

Doslon

|

4 Brand

r

Yes

(specify)

sf

Strength -

LetURight

r[-*lr

4l-_-lR

Dolatls

paga

G.

ldentity

Papers

00 Alw:rys

canytnq

0'l Passporl

02

Dnving licenge

03

Credit

cards

04

ldentity

card

05

Donor card

06 Travellers

cheques

07

Personal

cheques

08

Health

card

99

Other

1 Typo tZ

Pholograpll

t3

Ftngerprint

r1

Bloodtypo

Effects

00 Always

carrying

01

Wallet

02

Purse

03

Money

belt

04

Eladges/keys

05

Cunency

06

Mobile

phone

07

PDA

08

Sim carrl

09

Ticket

10

Cameraly'ideo

99

Other

1 Malerial

12

ColoLtr

t3

Design

rl

Brand

rS

Ma*ings

inrormatjon

ofl

Collected

by

DutY Trtlc

Name

Address

Phone/Eflatl

Srgnalure /

Dale

llOB)

VeE@

2m8l


8/13

MISSING

PERSON

No:

Family

name

:

Forename(s)

:

Dateof

birth

:

l-Tlo,v

fn"-"

f;Tl"*.

tr

fr'"

JEWELLERY

Rings,

chains

etc.

01 Wedding ring

02 Other |inger rings

03

Earrings

(X

Earclips

05

Neck

chains

06

Necklace

07 Bracelets

08 Other

chains

09

Pendant

on chain

10

Piercrng

trinkets

11 Nose ring

12 Anklet

99

Other

ln

case of using

'99

Other'

describe the kind

o{

itern

in

column'3

Design'.

Ho:

t1 Mateial

t2

t3 Destgn

|

1

lnsciotion

tS

Wherewom

rlttl

ltttl

ttttt

tlttt

tlttl

tlttt

lttll

ttttl

rtttt

ltttt

ltttt

ltttlttl

tttl

rrttl

ltttt

lttlt

rtttt

ttttl

rtttt

ltltl

ltttl

llttt

tttlt

lllll

llltl

ltrtl

rlttt

llltl

ltttl

fftl

ttttl

ttttl

ttltl

ltttl

rttlt

ltttl

lttrl

lttlt

llttl

|

|

I

r-

i

lttlt

ltttl

ltttl

llttl

ttatl

ttltl

An,"M**

VICTIM

IDENTIFICATION

FORM

+

6

+

I

tt-)

T

Collected

by

DutY Title

Name

Address

Phone/E+nail

Signature

/

Date

(GB)

Vqitm

2m8l


9/13

orrem

fuellow)

VICTIM

IDENTIFICATION

FORM

+

+

+

I

{-1-t

Y

MISSING

PERSON

Family

name

z

Forename(s)

z

Date

of

birth

:

f]]

o,r

l-l*l

uonttr

[I-Tl

vea'

PHYSICAL

DESCRIPTION

Min/cm

t ffin

Max/cm

I

Source ?

Min/kg

frl.r

Max/kg

I

Source ?

t--)

I

Bulld

0l

Bodily

constitution

02 Hend form, front

(02-03

*

Silhilte

sletdr)

03 Head form,

profile

i'h

yu

Oval

-

Pointheaded

,W

,fJ

Shallow

Medium

irul

Pvnmldal

Circular

'o'fJ

r

Yff'*

f"ffi-"-

rYPe:

M^dium

Da*

Halr

of the head

0l

Type

02 Length

03 Colour

04 Shade of colour

05 Thic*ness

06 Style

07

Baldness

08

Olher

Natural

-

,V

Short


10/13

MISSING PERSON

No:

Family

name

i

Forename(s)

:

Male Femala

u

ate

of

birth

'

fTl

oav

m

uonn

7f-f-T]vea,

n

An,"Monu-

gettow)

VICTIM

IDENTIFICATION

FORM

+

+

+

6

T

a

=

Uata

rrot

avarlable b

c

=

Further

information on

G

PHYSICAL

DESCRIPTION

(cont.)

a

b c

37

Forehead

01

Height

/ Width

(01{2

w Srh@ette sketdr)

02 lnclination

ibytryhwywYfr

Ptplg@ing

V

ilj

z

R

c

cegli

n

g/

sl

i

g

ht ly

2rc

e a

d

y

,L__J'

oll"

38

Eyebrows

01

Shape

/ Thic*ness

02

Peculiaritres

i'fl" ;:tr

i"tr

,"b

yw"

Ifr

Plucked Tatlooad/

,[ ,f,

39 Eyes

01 Colour

02 Shade

03 Distance

between eyes

(M

Peculianties

i'fr ?'fr

t'fl

":fr

?w

i'h

yw

?h rf,

iffi

yw

i'fr

i'fl*^'

:ffi**

:ff,\i:

r[-lnishr

40

Nose

01

Size

/

Shape

02

Peculianties

'o'*b3'Bf.[?Yt*5,"

iffi

yw

iffi

"ffi'

;ffi

3'ffi'*

yw{,:*"Th,,"

y',fl""',

OtheilsDecrfu)

4['

?w

:'fl'

?ffi'

,

":ff,""':fr^,

'uff'o

41 Facial

hair

01

Type

02 Colour

iff"

YWe" 3ff"

1ffi""

=ff*

?fr

',;u

7W

ih

f'fr

yu

42

Ears

01

Size

/

Angle

0?

see

Slhouene

skelci)

02 Ear lobes / Prerced

iffi

YW

?fr, i'fl"'

Ytr

'"ff*

iffif,"

znvesr

l'froi"Y*'*'"ffi*n,

13

Mouth

01 Size /

Other

iffi

yw

t'fr

,

?fi,",""'",

44

Lips

0l

Slrape / Other

Ih

yw

Iffi

,

yfr",

?fio*",,,,'

45

Teeth rcI.page

F1tF2t

01

Conditions

02

Gaps/Missing

teeth

03 Dentures

lw

".ffi"'

ifr'

:'f,"

;ff"

?

ff;;;:"'mi:

"

I

yifr'

:,;iil,,A,.

*

",

ffi"

"u)

p

e, a

v

Lo w

e

r

iu*'

lu""

:u*'

iff"'

:try'"*

46

Smoking habits

O1 Iype

lvo

Yes

,/

Cigareiles

Cioars

pipe

chcung tiimo

,[

,g

,

'@"

1E

'E

o["

Collected

by

DutY Title

Name

Address

Phone/E+nail

Signature /

Date

l1G8)

V@o

2m6l


11/13

An,"M-",n

fuellow)

VICTIM

IDENTIFICATI

FORM

6

T

+

A

Y

A

Y

MISSING

PERSON

Family

name

:

Forename(s)

:

Date

of

birth

:

ffi

our

tI

uonn

ffTTlvear

PHYSICAL DESCRIPTION

(cont.

Lame

sI

Anoular

,fl

Small

Medium

rfl

z@

Pointod

Round

r[

,w

Recedino

Medium

,

.E-

sf]

Clefr

chin

Gtuove

4n

sfl

Shor,

Medium

, Lono

r

"W

3n

Goitre Prominent

Adams

apple

r[

z@

Thin

Medium

,uE

s[

Collar

/

Shirt No

r

l-l

Thick

ef

Circurnference

5l-lrn

L-)cm

Hands

01 Shape /

Size

02

Nail length

03

Peorliarities

Slender

Medium

,

Broad

r[

zB'

rf

Shorl Madium.

Lono

rf, zf|

3n

Bitten

shott

Manicured

Painted

r

,E

a[

5fl

Nicotine

snrcn

Feet

01

Shape

02 Condition / Nail

03 Peculiarities

Slender

r

Bunion

rn

(Specity):

Mediunt,

Broad Flatfooted

Arched

,V

s[

r[

sf]

Com Painted

Defective

,I

,rE

lf]

None

Srrght

Mediun

Pronounced

t[

zf

3Er

1E

Blond

Brown

Black

Red

1x 'n 3EI

1E

Grev

Whila

5E

6E

None

Srrghl

Medlum

Pronounced

Shaved

,t[

,f]

31

ln

5I

Blond

Brown

Black

Red

iE

'zfJ

31

1fl

Grev

While

5n

o[

Speclfic detalls

01 Head

lANeck / Throat

02 Right arm

03 Left arm

04 Right hand

05

Left hand

06 Body-ftont

07

Body

-

back

0t

Right

leg

09 Left

leg

l0 Right foot

{l Laftfoot

1

ScardPiercing

12

Skin mai


12/13

An,"M

*u- $eltow)

VICTIM

IDENTIFICATION

FORM

D4

+

A

Y

+

+

Male

tr

Femala

n

MISSING

PERSON

No:

Date

of

birth

:rJ]touv

fI]uo,m

l-I-T-lvea,

Family

name

:

Forename(s)

:

,-,---\-

h.

\

i atl

'rrl

',

Ir

tul

st

\/

l,/

,/

Y

i

I

\t

/\

/l'.' /

i-

,

I I

'*d

I

l'

(

t

\\,

+

I

\._L

/

),i

(

l-/l

Mark

on charts

i'

?,

/-

l)

'l

i i

I

i'/

)

'v

',1

Y

\

t/

/\

BODY

SKETCH (described

in item

53)

,rsr

skinmarks

[-:::-"]

Tattoo

marks

Malformations

,lL

,,.9.,,-

[

"ll

-|

'.(\\

\

\\

\ )

\s\\

\t

\ ,l

t\

(ti,

r(

5

ii

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,'l

\

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iil

)(l

fr,'

i

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20081


13/13

VICTIM

IDENTIFICATION

FORM

MISSING

PERSON

No:

Forename(s)

:

Dateofbirth

:[-Io*

m;,;ffitr;

tr

FINGERPRINT INFORMATION

Where:

Other

sI

lf

no(

are

llngerprints

obtainable

from

rosldence/workplace/

other

0,

Address

02

Attending

member

Diqital

Photo

35mm Photo

zf

a

Powder

Chemicals

Other boecitul:

r[

z[

a['

"

Exhlblte

forwarded

0l

Description

Other

lnformatlon

Collec-ted

by

DutY

Title

Name

Address

Phone/E-mail

Signature /

Dde

[(CB)

V6don

20061