K.C. 1.
43
FOREIGN OFFICE
APPLICATION BY A BRITISH SUBJECT CLAIMING HE WAS SUBJECTED TO ILL-TREATMENT OR INHUMAN CONDUCT DURING DETENTION BY THE ENEMY We?
ITINE DISADEP MENTOR IMPAIRMEN INJOY
FBTREASON OF MENTAL
NOTES
When completed this form should be sent to the Under-Secretary of State, Foreign Office, Whitehall, S.W.1. Please make sure that all the questions have been answered (dashes or ticks are not sufficient answers). This will save correspondence and delay.
In the case where a claimant is a naturalized British subject, the number and date of naturalization certificate should be given.
The object of this form is simply to assist in the preliminary registration and notification of certain types of claim. The action (if any) eventually taken on any such claims will depend entirely on the policy adopted by His Majesty's Government with reference to claims of the kind involved. Accordingly, the presentation of a preliminary claim to this Department and its registration will not imply any responsibility whatever on the part of His Majesty's Government or any guarantee that the claim will be either presented or not.
(1) Surname
DILLON (Block letters)
(2) Full christian Names Bishop (Christian name), Percival
New
(3) Address: 178 Route Dufour, (NOT at 175 Soochow Road
Shanghai, China
now
Please note above new address: 178 Route Durour
13146 [31263--1}
Shanghai China