The Memory of Treblinka Foundation

The Memory of Treblinka Foundation in cooperation with Jewish Historical Institute collects all available information concerning the victims of the extermination camp in Treblinka. We do not want to allow for them – as the Nazis would have wished – to remain anonymous. Every name is important to us. If you would like to share with us any information about your family or friends, we would be very grateful for completing on-line questionnaire below. Even just a partially completed questionnaire would be very valuable to us.

The questionnaire is also available as a word document. Filled and signed should be scanned and sent by e-mail or (original) by mail to Foundation: The questionnaire “Book of Names”.doc

Data of more than one person can be sent in separate or in one questionnaire. If you do not know the exact date of birth, please give an approximate one. If the detailed address is missing, then maybe just district or town is known.

If you have any souvenirs, letters, photographs or other documents pertaining to the people you’re describing, we would be very thankful for making them available to us for copying.

As we’d like to be formally entitled to insert the data passed by you into Foundation database, we need your formal confirmation. The questionnaire filled on-line we will send to you. Please sign it and send us back.

If in future you’d like to update sent data please contact Foundation.


Name and surname – if applicable, names used previously, in the case of women – maiden names

Date and place of birth

Place of residence (before and during the war – in which ghetto was the person placed)

Parents’ names (mother’s maiden name)


Trade (before and during the war)

Place of death

Other information, e.g. date and place of deportation, circumastances of the deportation of a given person (or family). If you have a longer story to tell, we will contact you to hear it or you can send it to us via email or mail.

Spouse (name and surname, date of birth, trade)

Children – names and dates of birth (age), other information, e.g. names of schools, participation in organizations

Alternatively, please list other people who were murdered in Treblinka

In what relation to you was the person (people) described?

What is the source of information about the person described? (obligatory)

Name and surname of the person completing this questionnaire (obligatory)

Contact details – email address (obligatory)

Contact: address and telephone (obligatory)

Date of completing the questionnaire

The administrator of your personal data is the Foundation for the Protection of the Memory of Extermination Camp in Treblinka ("Memory of Treblinka" Foundation), which is based in Warsaw, postal code 00-090, Tłomackie Street 3/5. You have a number of rights under the Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and repealing Directive 95/46/EC ("GDPR").
Your data will be processed for the purpose of conducting scientific and historical research, in particular the creation of a list of victims of the Treblinka II extermination camp (Article 6 paragraph 1 letter "a" of the GDPR Regulation). Your consent for this processing is a condition for the inclusion of data contained in the submitted questionnaire to the held by the Treblinka Foundation documentation of Holocaust victims in the Treblinka II extermination camp.
The recipient of your personal data may only be entities authorized under the law and contracts concluded by the Foundation to implement our statutory objectives.
Detailed information about the purposes of data processing, processing periods and your rights are included in the document: "Privacy Policy", posted on the website:
You can complain at any time about the processing of your personal data to the supervisory authority.

I declare that I have read the Privacy Policy posted on the Foundation website and agree to the Foundation's processing of personal data provided by me for the purposes of scientific and historical research, including the creation of a list of victims of Treblinka II extermination camp, described in this Policy.

I agree to disclose only my name, surname and my connection with the victim to other entities collecting data of victims of Holocaust or conducting scientific and historical research, provided that they sign with the “Memory of Treblinka” Foundation an agreement regulating the processing of personal data by these entities in accordance with the applicable law.

I agree to share my name, surname and my connection with the Holocaust victim on the universally accessible website of the " Memory of Treblinka" Foundation.