Post-Interview Form
Please fill out this form with all the required information, email stories@1947partitionarchive.org with any questions
1. INTERVIEW INFORMATION
A. Interviewee Information
Interviewee Title *
Mr., Ms., Dr., Colonel, etc. Required
Interviewee FIRST NAME *
Given name
Interviewee MIDDLE NAME
Interviewee LAST NAME *
Surname
Interviewee suffix
M.D., D.D.S., esq., Jr., Sr., etc.
Name at birth if married
AND/ OR changed name
Alternate Spellings of Interviewee Name AND/OR Name at Birth if Married or Changed Name *
B. Interviewer Information
Interviewer TITLE *
Mr., Ms., Dr., Colonel, etc.
Interviewer FIRST NAME *
Given name
Interviewer LAST NAME *
Surname
Interviewer Suffix
M.D., D.D.S., esq., Jr., Sr., etc.
Camera Person TITLE *
Mr., Ms., Dr., Colonel, etc. Repeat Interviewer Information if no Camera Person present.
Camera Person FIRST NAME *
Given Name. Repeat interviewer name if no camera person present.
Camera Person LAST NAME *
Surname. Repeat interviewer name if no camera person present.
Camera Person Suffix
M.D., D.D.S., esq., Jr., Sr., etc.
C. Interview Date
Interview Date *
MM
/
DD
/
YYYY
Additional Interview Date (If applicable)
Session 2
MM
/
DD
/
YYYY
Additional Interview Date (If applicable)
Session 3
MM
/
DD
/
YYYY
Additional Interview Date (If applicable)
Session 4
MM
/
DD
/
YYYY
Additional Interview Date (If applicable)
Session 5
MM
/
DD
/
YYYY
D. Interview Location
HOUSE NUMBER of interview location *
If no house number available, include relevant information for locating the interview location (closest post office/ train station)
STREET of interview location *
CITY/ VILLAGE of interview location *
e.g. Delhi, Karachi, Ajaipur, etc.
STATE/Province/Division of interview location *
e.g. Haryana, Punjab, OR if in the US, Texas, Nevada, etc.
DISTRICT/ TEHSIL/ JILLA of interview location
If applicable
ZIP/ POSTAL CODE of interview location *
COUNTRY of interview location *
e.g. India, Pakistan, US, UK, etc.
FOR CITY/VILLAGE/TOWN: precise details for interview location address
If inexact address, provide maximum information, such as closest railway station, post office, etc.
FOR CITY/VILLAGE/TOWN: Latitude of interview location *
Please provide precise latitude of the city/town or village for interview's location but using Google Map to help you.
FOR CITY/VILLAGE/TOWN: Longitude of interview location *
Please provide precise longitude of the city/town or village for interview's location but using Google Map to help you.
E. Additional Interview Information
Interviewee Date of Birth
If known exactly
MM
/
DD
/
YYYY
Interviewee Date of Birth if Inexact (e.g. interviewee only knows the year). If applicable, please include information about calendars other than the Gregorian. *
If interviewee provides an exact date, write N/A below.
Gender of interviewee *
Interview Languages *
Required
Interview Languages: Notes
Specify any dialects or languages not listed above
Religion of Interviewee *
Indicate to which religion the interviewee is affiliated -
Religion of Interviewee: Notes
Specify any religion or beliefs not listed above. If the Interviewee has converted during their life, indicate the change here.
F. Photo Captions
For each picture, indicate who is in the photo. If multiple people are present in the photo, list from left to right, and include names and relationships to the interviewee. If an older photo, include the year or approximate year in which it was taken.
Photo #1 caption *
Photo #2 caption *
Photo #3 caption *
Photo #4 caption *
Photo #5 caption *
Photo #6 caption
Photo #7 caption
Photo #8 caption
Photo #9 caption
Photo #10 caption
Photo #11 caption
Photo #12 caption
Additional photo captions
2. MIGRATION INFORMATION
A. Birthplace Address
HOUSE NUMBER of birthplace *
If no house number available, include relevant information for locating the interview location (closest post office/ train station)
STREET of birthplace *
CITY/VILLAGE of birthplace *
e.g. Delhi, Karachi, Ajaipur, etc.
STATE/Province/Division of birthplace *
e.g. Haryana, Punjab, OR if in the US, Texas, Nevada, etc.
DISTRICT, TEHSIL, JILLA of birthplace
if applicable
ZIP/ POSTAL CODE of birthplace *
COUNTRY of birthplace *
e.g. India, Pakistan, US, UK, etc.
FOR VILLAGE/TOWN: precise details for birthplace address
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Latitude of birthplace *
Please provide precise latitude of the city/town or village for interview's location but using Google Map to help you.
Longitude of birthplace *
Please provide precise longitude of the city/town or village for interview's location but using Google Map to help you.
B. Interviewee Residence Before Partition
HOUSE NUMBER of residence before Partition. DO NOT WRITE "same as birthplace" *
If no house number available, include relevant information for locating the interview location (closest post office/ train station)
STREET of residence before Partition. DO NOT WRITE "same as birthplace" *
CITY/VILLAGE of place of residence before Partition *
e.g. Delhi, Karachi, Ajaipur, etc.
STATE/Province/Division of place of residence before Partition *
e.g. Haryana, Punjab, Maharashtra
DISTRICT, TEHSIL, JILLA of place of residence before Partition
If applicable
ZIP/ POSTAL CODE of place of residence before Partition *
COUNTRY of place of residence before Partition *
e.g. India, Pakistan, US, UK, etc.
FOR VILLAGE/TOWN: Precise details for residence before Partition
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Latitude of place of residence before Partition *
Please provide precise latitude of the city/town or village for interview's location but using Google Map to help you.
Longitude of place of residence before Partition *
Please provide precise longitude of the city/town or village for interview's location but using Google Map to help you.
C. Interviewee Residence After Partition
Did the interviewee migrate during Partition time? *
If "no," please re-enter the information given for "place of residence before Partition" for the following entries
HOUSE NUMBER of residence after Partition. *
STREET of residence after Partition. *
CITY/VILLAGE of place of residence after Partition *
e.g. Delhi, Karachi, Ajaipur, etc.
STATE/Province/Division of place of residence after Partition *
e.g. Haryana, Punjab, Maharashtra
DISTRICT, TEHSIL, JILLA of place of residence after Partition
If applicable
ZIP/ POSTAL CODE of place of residence after Partition *
COUNTRY of place of residence after Partition *
e.g. India, Pakistan, US, UK, etc.
FOR VILLAGE/TOWN: Precise details for residence after Partition
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Latitude of place of residence after Partition *
Please provide precise latitude of the city/town or village for interview's location but using Google Map to help you.
Longitude of place of residence after Partition *
Please provide precise longitude of the city/town or village for interview's location but using Google Map to help you.
D. Migration Details
Assets lost during migration
Give approximate amounts for homes, land, jewelry, money, items of historical significance, etc.
Assets allotted by new government
Give descriptions and approximate amounts
Point of entry into new country
Where did the interviewee cross the border?
Route traveled to reach new country
If you choose, you can upload a map. Also include via points. This will help to create the "Story Map" on our website, which can be seen here: 1947partitionarchive.org
Additional materials to share
Please scan or copy and include personal or other photographs, newspaper cuttings or any other materials the interviewee wishes to share with the world related to the Partition of 1947
E. Interviewee Occupation and Parental Information
Interviewee occupation in 1947 *
What did the interviewee do in 1947?
Interviewee career *
What did the interviewee do for the majority of their life? If multiple careers, include all
Interviewee occupation today *
What does the interviewee do today?
Father's full name (given name and surname)
Mother's full name (given name and surname)
3. CONTACT INFORMATION
A. Interviewee Contact Information
HOUSE NUMBER for CURRENT interviewee residence *
DO NOT WRITE "same as interview location." Re-enter information
STREET of current interviewee residence *
CITY/VILLAGE of current interviewee residence *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
STATE/Province/Division of current interviewee residence *
e.g. Haryana, Punjab, Maharashtra; Texas, California
DISTRICT, TEHSIL, JILLA of current interviewee residence
If applicable
ZIP/ POSTAL CODE of current interviewee residence *
COUNTRY of current interviewee residence *
e.g. India, Pakistan, US, UK, etc.
FOR CITY/VILLAGE/TOWN: Precise details of current interviewee residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Latitude of current residence *
Please provide precise latitude of the city/town or village for interview's location but using Google Map to help you.
Longitude of current residence *
Please provide precise longitude of the city/town or village for interview's location but using Google Map to help you.
B. Interviewee Contact Information
Interviewee Phone Number *
Does the interviewee have an email address? *
If yes, include email address below, if no, write "no email" *
C. Interviewer Contact Information
Your contact information
Interviewer Email *
Your email
Interviewer Phone Number *
Your phone number
Camera Person Email *
re-type interviewer email if same
4. FRIENDS AND FAMILY INFORMATION
We ask that you provide a minimum of 2 and up to 5 contacts that The Archive can remain in touch with, regarding your interview. This includes publishing and processing of interview. We will keep all the contacts below informed of your interview and the work we are doing.
Contact #1
Contact #1 First Name *
Given name
Contact #1 Last Name *
Surname
Contact #1 Relation *
e.g. daughter, son-in-law, cousin, neighbor
Contact #1 HOUSE NUMBER *
Contact #1 STREET NAME *
Contact #1 CITY/VILLAGE *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
Contact #1 DISTRICT/ TEHSIL/ JILLA
If applicable
Contact #1 STATE/Province/Division *
e.g. Haryana, Punjab, Maharashtra; Texas, California
Contact #1 ZIP or POSTAL CODE *
Contact #1 COUNTRY *
e.g. India, Pakistan, US, UK, etc.
Contact #1 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Contact #1 Email Address *
If they do not have one, please write "N/A"
Contact #1 Phone Number *
Contact #2
Contact #2 First Name *
Given Name
Contact #2 Last Name *
Surname
Contact #2 Relation *
e.g. daughter, son-in-law, cousin, neighbor
Contact #2 HOUSE NUMBER *
Contact #2 STREET NAME *
Contact #2 CITY/TOWN *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
Contact #2 DISTRICT/ TEHSIL/ JILLA
If applicable
Contact #2 STATE/Province/Division *
e.g. Haryana, Punjab, Maharashtra; Texas, California
Contact #2 ZIP or POSTAL CODE *
Contact #2 COUNTRY *
e.g. India, Pakistan, US, UK, etc.
Contact #2 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Contact #2 Email Address *
If they do not have one, please write "N/A"
Contact #2 Phone Number *
Contact #3
Contact #3 First Name
Given Name
Contact #3 Last Name
Surname
Contact #3 Relation
e.g. daughter, son-in-law, cousin, neighbor
Contact #3 HOUSE NUMBER
Contact #3 STREET NAME
Contact #3 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Contact #3 DISTRICT/ TEHSIL/ JILLA
If applicable
Contact #3 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Contact #3 ZIP or POSTAL CODE
Contact #3 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Contact #3 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Contact #3 Email Address
If they do not have one, please write "N/A"
Contact #3 Phone Number
Contact #4
Contact #4 First Name
Given Name
Contact #4 Last Name
Surname
Contact #4 Relation
e.g. daughter, son-in-law, cousin, neighbor
Contact #4 HOUSE NUMBER
Contact #4 STREET NAME
Contact #4 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Contact #4 DISTRICT/ TEHSIL/ JILLA
If applicable
Contact #4 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Contact #4 ZIP or POSTAL CODE
Contact #4 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Contact #4 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Contact #4 Email Address
If they do not have one, please write "N/A"
Contact #4 Phone Number
Contact #5
Contact #5 First Name
Given Name
Contact #5 Last Name
Surname
Contact #5 Relation
e.g. daughter, son-in-law, cousin, neighbor
Contact #5 HOUSE NUMBER
Contact #5 STREET NAME
Contact #5 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Contact #5 DISTRICT/ TEHSIL/ JILLA
If applicable
Contact #5 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Contact #5 ZIP or POSTAL CODE
Contact #5 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Contact #5 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Contact #5 Email Address
If they do not have one, please write "N/A"
Contact #5 Phone Number
5. INTERVIEWEE PREFERENCES/ PERMISSIONS
In addition to storage of my (the interviewee's) testimony in educational library, other physical or digital archives, I, the interviewee, have the following preferences for distribution of my testimony for educational and research purposes:
1.) Project website: I, the interviewee, am comfortable if my testimony is made available publicly on The 1947PA website. *
2.) YouTube, Vimeo or other online video channel: I, the interviewee, am comfortable if my testimony is made available in whole or in part on The 1947PA’s online video channels. *
3.) Facebook, Twitter, and other Social Media: I, the interviewee, am comfortable if my testimony is made available in whole or in part on The 1947 Partition Archive’s Facebook and Twitter pages. *
4.) Radio broadcast: I, the interviewee, am comfortable if my testimony is made available in whole or part for occasional radio broadcast. *
5.) Television broadcast: I, the interviewee, am comfortable if my testimony is made available in whole or part for occasional television broadcast. *
6.) Print: I, the interviewee, am comfortable if my testimony is made available in whole or part in printed form. *
7.) Delay: If you, the interviewee, are providing information that you consider sensitive, you may elect to delay the release of this information (i.e., 10 years, 50 years, or more). Until release, this document will remain sealed. *
If the interviewee wants a delayed release, select "Other" and enter the date until which they would like it delayed.
8.) Would you, the interviewee, be interested in participating in public speaking events that involve narrating your Partition experiences? *
9.) May we contact you, the interviewee, in the future for more details with regard to your story? *
Notes
Please enter any further details here.
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