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
Your answer
Interviewee FIRST NAME *
Given name
Your answer
Interviewee MIDDLE NAME
Your answer
Interviewee LAST NAME *
Surname
Your answer
Interviewee suffix
M.D., D.D.S., esq., Jr., Sr., etc.
Your answer
Name at birth if married
AND/ OR changed name
Your answer
Alternate Spellings of Interviewee Name AND/OR Name at Birth if Married or Changed Name *
Your answer
B. Interviewer Information
Interviewer TITLE *
Mr., Ms., Dr., Colonel, etc.
Your answer
Interviewer FIRST NAME *
Given name
Your answer
Interviewer LAST NAME *
Surname
Your answer
Interviewer Suffix
M.D., D.D.S., esq., Jr., Sr., etc.
Your answer
Camera Person TITLE *
Mr., Ms., Dr., Colonel, etc. Repeat Interviewer Information if no Camera Person present.
Your answer
Camera Person FIRST NAME *
Given Name. Repeat interviewer name if no camera person present.
Your answer
Camera Person LAST NAME *
Surname. Repeat interviewer name if no camera person present.
Your answer
Camera Person Suffix
M.D., D.D.S., esq., Jr., Sr., etc.
Your answer
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)
Your answer
STREET of interview location *
Your answer
CITY/ VILLAGE of interview location *
e.g. Delhi, Karachi, Ajaipur, etc.
Your answer
STATE/Province/Division of interview location *
e.g. Haryana, Punjab, OR if in the US, Texas, Nevada, etc.
Your answer
DISTRICT/ TEHSIL/ JILLA of interview location
If applicable
Your answer
ZIP/ POSTAL CODE of interview location *
Your answer
COUNTRY of interview location *
e.g. India, Pakistan, US, UK, etc.
Your answer
FOR CITY/VILLAGE/TOWN: precise details for interview location address
If inexact address, provide maximum information, such as closest railway station, post office, etc.
Your answer
FOR CITY/VILLAGE/TOWN: Latitude of interview location *
Please use: http://itouchmap.com/latlong.html Please provide precise latitude of the city/town or village for interview's location.
Your answer
FOR CITY/VILLAGE/TOWN: Longitude of interview location *
Please use: http://itouchmap.com/latlong.html Please provide precise longitude of the city/town or village for interview's location.
Your answer
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.
Your answer
Gender of interviewee *
Interview Languages *
Required
Interview Languages: Notes
Specify any dialects or languages not listed above
Your answer
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 *
Your answer
Photo #2 caption *
Your answer
Photo #3 caption *
Your answer
Photo #4 caption *
Your answer
Photo #5 caption *
Your answer
Photo #6 caption
Your answer
Photo #7 caption
Your answer
Photo #8 caption
Your answer
Photo #9 caption
Your answer
Photo #10 caption
Your answer
Photo #11 caption
Your answer
Photo #12 caption
Your answer
Additional photo captions
Your answer
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)
Your answer
STREET of birthplace *
Your answer
CITY/VILLAGE of birthplace *
e.g. Delhi, Karachi, Ajaipur, etc.
Your answer
STATE/Province/Division of birthplace *
e.g. Haryana, Punjab, OR if in the US, Texas, Nevada, etc.
Your answer
DISTRICT, TEHSIL, JILLA of birthplace
if applicable
Your answer
ZIP/ POSTAL CODE of birthplace *
Your answer
COUNTRY of birthplace *
e.g. India, Pakistan, US, UK, etc.
Your answer
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.
Your answer
Latitude of birthplace *
Please use: http://itouchmap.com/latlong.html Please provide precise latitude of the city/town or village for interviewee's birthplace.
Your answer
Longitude of birthplace *
Please use: http://itouchmap.com/latlong.html Please provide precise longitude of the city/town or village for interviewee's birthplace.
Your answer
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)
Your answer
STREET of residence before Partition. DO NOT WRITE "same as birthplace" *
Your answer
CITY/VILLAGE of place of residence before Partition *
e.g. Delhi, Karachi, Ajaipur, etc.
Your answer
STATE/Province/Division of place of residence before Partition *
e.g. Haryana, Punjab, Maharashtra
Your answer
DISTRICT, TEHSIL, JILLA of place of residence before Partition
If applicable
Your answer
ZIP/ POSTAL CODE of place of residence before Partition *
Your answer
COUNTRY of place of residence before Partition *
e.g. India, Pakistan, US, UK, etc.
Your answer
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.
Your answer
Latitude of place of residence before Partition *
Please use: http://itouchmap.com/latlong.html Please provide precise latitude of the city/town or village for interviewee's place of residence prior to Partition.
Your answer
Longitude of place of residence before Partition *
Please use: http://itouchmap.com/latlong.html Please provide precise longitude of the city/town or village for interviewee's place of residence prior to Partition.
Your answer
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. *
Your answer
STREET of residence after Partition. *
Your answer
CITY/VILLAGE of place of residence after Partition *
e.g. Delhi, Karachi, Ajaipur, etc.
Your answer
STATE/Province/Division of place of residence after Partition *
e.g. Haryana, Punjab, Maharashtra
Your answer
DISTRICT, TEHSIL, JILLA of place of residence after Partition
If applicable
Your answer
ZIP/ POSTAL CODE of place of residence after Partition *
Your answer
COUNTRY of place of residence after Partition *
e.g. India, Pakistan, US, UK, etc.
Your answer
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.
Your answer
Latitude of place of residence after Partition *
Please use: http://itouchmap.com/latlong.html Please provide precise latitude of the city/town or village for interviewee's place of residence after Partition.
Your answer
Longitude of place of residence after Partition *
Please use: http://itouchmap.com/latlong.html Please provide precise longitude of the city/town or village for interviewee's place of residence after Partition.
Your answer
D. Migration Details
Assets lost during migration
Give approximate amounts for homes, land, jewelry, money, items of historical significance, etc.
Your answer
Assets allotted by new government
Give descriptions and approximate amounts
Your answer
Point of entry into new country
Where did the interviewee cross the border?
Your answer
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
Your answer
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
Your answer
E. Interviewee Occupation and Parental Information
Interviewee occupation in 1947 *
What did the interviewee do in 1947?
Your answer
Interviewee career *
What did the interviewee do for the majority of their life? If multiple careers, include all
Your answer
Interviewee occupation today *
What does the interviewee do today?
Your answer
Father's full name (given name and surname)
Your answer
Mother's full name (given name and surname)
Your answer
3. CONTACT INFORMATION
A. Interviewee Contact Information
HOUSE NUMBER for CURRENT interviewee residence *
DO NOT WRITE "same as interview location." Re-enter information
Your answer
STREET of current interviewee residence *
Your answer
CITY/VILLAGE of current interviewee residence *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
Your answer
STATE/Province/Division of current interviewee residence *
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
DISTRICT, TEHSIL, JILLA of current interviewee residence
If applicable
Your answer
ZIP/ POSTAL CODE of current interviewee residence *
Your answer
COUNTRY of current interviewee residence *
e.g. India, Pakistan, US, UK, etc.
Your answer
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.
Your answer
Latitude of current residence *
Please use: http://itouchmap.com/latlong.html Please provide precise latitude of the city/town or village for interviewee's current place of residence.
Your answer
Longitude of current residence *
Please use: http://itouchmap.com/latlong.html Please provide precise longitude of the city/town or village for interviewee's current place of residence.
Your answer
B. Interviewee Contact Information
Interviewee Phone Number *
Your answer
Does the interviewee have an email address? *
If yes, include email address below, if no, write "no email" *
Your answer
C. Interviewer Contact Information
Your contact information
Interviewer Email *
Your email
Your answer
Interviewer Phone Number *
Your phone number
Your answer
Camera Person Email *
re-type interviewer email if same
Your answer
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
Your answer
Contact #1 Last Name *
Surname
Your answer
Contact #1 Relation *
e.g. daughter, son-in-law, cousin, neighbor
Your answer
Contact #1 HOUSE NUMBER *
Your answer
Contact #1 STREET NAME *
Your answer
Contact #1 CITY/VILLAGE *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
Your answer
Contact #1 DISTRICT/ TEHSIL/ JILLA
If applicable
Your answer
Contact #1 STATE/Province/Division *
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
Contact #1 ZIP or POSTAL CODE *
Your answer
Contact #1 COUNTRY *
e.g. India, Pakistan, US, UK, etc.
Your answer
Contact #1 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Your answer
Contact #1 Email Address *
If they do not have one, please write "N/A"
Your answer
Contact #1 Phone Number *
Your answer
Contact #2
Contact #2 First Name *
Given Name
Your answer
Contact #2 Last Name *
Surname
Your answer
Contact #2 Relation *
e.g. daughter, son-in-law, cousin, neighbor
Your answer
Contact #2 HOUSE NUMBER *
Your answer
Contact #2 STREET NAME *
Your answer
Contact #2 CITY/TOWN *
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago
Your answer
Contact #2 DISTRICT/ TEHSIL/ JILLA
If applicable
Your answer
Contact #2 STATE/Province/Division *
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
Contact #2 ZIP or POSTAL CODE *
Your answer
Contact #2 COUNTRY *
e.g. India, Pakistan, US, UK, etc.
Your answer
Contact #2 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Your answer
Contact #2 Email Address *
If they do not have one, please write "N/A"
Your answer
Contact #2 Phone Number *
Your answer
Contact #3
Contact #3 First Name
Given Name
Your answer
Contact #3 Last Name
Surname
Your answer
Contact #3 Relation
e.g. daughter, son-in-law, cousin, neighbor
Your answer
Contact #3 HOUSE NUMBER
Your answer
Contact #3 STREET NAME
Your answer
Contact #3 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Your answer
Contact #3 DISTRICT/ TEHSIL/ JILLA
If applicable
Your answer
Contact #3 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
Contact #3 ZIP or POSTAL CODE
Your answer
Contact #3 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Your answer
Contact #3 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Your answer
Contact #3 Email Address
If they do not have one, please write "N/A"
Your answer
Contact #3 Phone Number
Your answer
Contact #4
Contact #4 First Name
Given Name
Your answer
Contact #4 Last Name
Surname
Your answer
Contact #4 Relation
e.g. daughter, son-in-law, cousin, neighbor
Your answer
Contact #4 HOUSE NUMBER
Your answer
Contact #4 STREET NAME
Your answer
Contact #4 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Your answer
Contact #4 DISTRICT/ TEHSIL/ JILLA
If applicable
Your answer
Contact #4 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
Contact #4 ZIP or POSTAL CODE
Your answer
Contact #4 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Your answer
Contact #4 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Your answer
Contact #4 Email Address
If they do not have one, please write "N/A"
Your answer
Contact #4 Phone Number
Your answer
Contact #5
Contact #5 First Name
Given Name
Your answer
Contact #5 Last Name
Surname
Your answer
Contact #5 Relation
e.g. daughter, son-in-law, cousin, neighbor
Your answer
Contact #5 HOUSE NUMBER
Your answer
Contact #5 STREET NAME
Your answer
Contact #5 CITY/TOWN
e.g. Delhi, Karachi, Ajaipur; Los Angeles, Chicago.
Your answer
Contact #5 DISTRICT/ TEHSIL/ JILLA
If applicable
Your answer
Contact #5 STATE/Province/Division
e.g. Haryana, Punjab, Maharashtra; Texas, California
Your answer
Contact #5 ZIP or POSTAL CODE
Your answer
Contact #5 COUNTRY
e.g. India, Pakistan, US, UK, etc.
Your answer
Contact #5 PRECISE DETAILS about residence
If inexact address (smaller localities, villages), provide maximum information, such as closest railway station, post office, etc.
Your answer
Contact #5 Email Address
If they do not have one, please write "N/A"
Your answer
Contact #5 Phone Number
Your answer
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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