IMPORTANT
Qualifying Service details
Service with Forces in Yugoslavia during the
Second World War
Privacy notice
Your personal information is protected by law, including the Privacy Act 1988. Your personal information may be collected by the
Department of Veterans’ Affairs (DVA) for the delivery of government programs for war veterans, members of the Australian Defence
Force, members of the Australian Federal Police and their dependants.
Read more: How DVA manages personal information
This supplementary form must be completed in conjunction with D0507 Claim to Determine Qualifying Service by a
Commonwealth or Allied Veteran
In case pages of this form become separated please place your name on the top of each page.
Please write in BLOCK LETTERS using a blue or black pen (not pencil).
Your details
1. Full name
2. Did you serve under any other name?
No
Yes - please provide details
3. During World War II, did you serve with any of the following forces?
(please tick Yes or No for each force)
Yugoslav People’s Army (Partisans)
No
Chetniks
No
Yes
Bulgarian Armed Forces
No
Yes
Royal Yugoslav Army/Navy/Air Force
No
Yes
Domobrani
No
Yes
White Guards
No
Yes
Ustashi
No
Yes
Hungarian Armed Forces
No
Yes
Romanian Armed Forces
No
Yes
Ljoticevci
No
Yes
Nedicevci
No
Yes
German Armed Forces
No
Yes
Italian Armed Forces
No
Yes
Any other forces
No
Yes - which forces?
4. What was the nature of your employment before you enlisted?
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Yes
5. During World War II, were you at any time subjected to forced labour?
No
Yes - who subjected you to forced labour?
For what periods?
Where did this happen?
What was the nature of the labour you undertook?
6. During World War II, were you at any time a prisoner of war?
No
Yes - when were you captured?
/
/
Where were you captured?
Which forces captured you?
Where were you interned and for what periods?
When were you released?
/
/
Where were you released?
Who released you?
If you were released before 8 May 1945, what did you do from your release
date until the end of hostilities?
Declaration
I declare that the information I have given in this form is complete and correct.
Giving false or misleading information is a serious offence.
Your signature
/
/
Go to next page
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Service details
A Service details section must be completed for each force you served with.
7. Name of force
8. Date of enlistment
/
/
9. When did you enlist?
10. Did you take a formal oath of enlistment?
No
Yes
11. Date you were discharged
/
/
12. Where were you discharged?
13.Give details of each unit you served in:
Name of unit
Name of commanding officer
14.Give details of the training you received:
Type of training
Your duties with this unit
Where
Dates
15.Give details of the areas and towns where you served with this force (also mark the areas or towns
on the map at the end of this form):
Name of area or town
Dates (exact dates if possible)
16.Give details of any combat operations you took part in, during which you were in danger from
enemy forces:
Name of enemy force
Where
Dates
Your role in the combat
Go to next page
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17. Did you, or any unit in which you served, at any time provide assistance to:
German forces
No
Yes
Italian forces
No
Yes
Bulgarian forces
No
Yes
Any of the other forces listed in Question 2, other
than the forces in which you served
No
Yes - which force(s)?
18. From Question 16, mark on this map, with a red pen, the areas and towns
where you served with this force:
YUGOSLAVIA 1939
TRIESTE
IA
VEN
SLO
ZAGREB
RIJEKA
CROATIA
R .S ava
R .D r
ava
BOSNIAHERCEGOVINA
BELGRADE
R .D an
ube
BIA
SER
UZICE
SARAJEVO
SPLIT
VIS
MONTENEGRO
DUBROVNIK
KOSSOVO
SKOPJE
MA
CE
R .V
a
NI
A
r
rda
DO
Declaration
I declare that I have given a complete and correct description of my service with this force during the period
3 September 1939 to 8 May 1945 .
Giving false or misleading information is a serious offence.
Your signature
/
/
To help speed up the decision on your qualifying service, please provide any official papers you have
which give details about your service. If the papers are not in English, please provide an English
translation. We will return the papers as soon as possible by certified mail.
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