APPLICATION FOR CONFIRMATION JEWISH IDENTITY AND LINEAGE PART 1
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1 B H APPLICATION FOR CONFIRMATION OF JEWISH IDENTITY AND LINEAGE PART 1 Name of Applicant Purpose of application: Date of event / /20 Last update Oct 22, 2014
2 WHY IS THIS PROCESS NECESSARY? The fact that you are Jewish is not being questioned. However, putting it on paper requires proper verification. Due to the chaotic circumstances in the last century, combined with innocent mistakes and intentional deceit by some individuals, it has become necessary to prove one s Jewish lineage through documentation. The way the Jews lived in Russia, especially during World War I, World War II, the revolution, communism etc. caused people to change their nationality from Jew to gentile and then, upon emigration to Israel, they reverted to Jew. It doesn t matter if we, you and I, are absolutely certain that we are Jewish. In order to be recognized as Jewish, the Jewish status requires authentication. Authentication is based on many parameters, such as forms, documents, pictures, etc. Understandably, this may cause frustration. Nevertheless, it is for the good of our community, to safeguard all our children, their children and all the generations to follow. It should be done sooner rather than later, because with the passing of each day the ability to document one s Jewish status diminishes. It is quite a process to go through the interwoven webs to ascertain without a doubt that an individual is in fact 100% of Jewish lineage. The word of a single rabbi is not sufficient. Experience has shown, over and over again, that some people who think they are not Jewish - are, while others who think they are Jewish - are not. Going through the Jewish verification process also serves as a confirmation for our children of their lineage. The need for verification of Judaism is spearheaded by the Rabbinates of Israel & Russia and is spreading to Rabbinates around the world. This service is essential for every Jew. Therefore, the JRCC is offering the service free of charge. However, considering the significant administrative costs involved (here and abroad) a $250 contribution would be greatly appreciated, payable to JRCC/Jewish Identity and sent or delivered to JRCC, 5987 Bathurst Street #3, Toronto ON M2R 1Z3. Vaad HaRabanim Of Toronto A recent notice of the Vaad HaRabanin of Toronto (Toronto's Board of Rabbis) signed by leading Rabbis of the GTA, Rabbis Amram Asayag from the Spharadic Kehila Centre, Yohoshua Fuhrer from the Bobov community, Moshe Lowy from Agudat Israel congregation, Mordechai Ochs from Torat Emet Congregation and Dovid Schochet from Chabad Lubavitch, strongly suggests, that every Jew from the former Soviet Union ought to obtain certified confirmation of their Jewish lineage before engaging in Jewish life cycle event. The full text of this ruling is available at the Vaad HaRabanim or from the JRCC Offices. Page 2 JRCC Application for Confirmation of Jewish Identity and Lineage
3 APPLICATION INSTRUCTIONS- READ THIS PAGE BEFORE COMPLETING THE FORM 1. Complete the attached application form (which can also be downloaded at in capital letters in blue or black ink. Forms completed in script (anywhere on the form) may need to be returned and rewritten. 2. Schedule a meeting with the coordinator of The Committee for Confirmation of Jewish Identity and Lineage in the JRCC office by calling Ext. 237 or jewishidentity@jrcc.org. 3. When you arrive for the meeting with the coordinator, you must bring the following original documents and pictures for scanning: a. Two pieces of government issued photo ID confirming your identity (Passport, Driver s License, OHIP card, etc.). b. As many of the following original documents (Russian included) as possible, for any/all family members including your children: (Please indicate which documents you do or don t have.) 1) Birth Certificate Yes No 2) Marriage Certificate Yes No 3) Ketuba Yes No 4) Divorce Papers Yes No 5) Death Certificate Yes No 6) Work Card Yes No 7) Military Service Card Yes No 8) Diplomas Yes No 9) Residence Card Yes No 10) Any other documents which you may have from places of study, work, residence, etc. (yours, your parents, grandparents and siblings of all generations). Yes No c. Family albums and all pictures (which reflect the connection between you and previous generations). Yes No (Note: All applications will be processed, no matter how many documents/pictures you have. The more documents and pictures you bring, the quicker and easier the confirmation process will be; the fewer documents/pictures you bring, the longer and more cumbersome the process might be.) 4. Once the documents and pictures have been scanned ask the coordinator to schedule a meeting for you with the Rabbis - Rabbi Yisroel Karpilovsky and Rabbi Yoseph Y. Zaltzman. 5. If you, your siblings, your parents, or your grandparents were ever residents of Israel, specify their Teudat Zehut (Israeli ID) number. If your parents lived legally in Israel, you have a Teudat Zehut number. The Teudat Zehut number of those who passed away in Israel can be found on their Death Certificates. 6. Important: Bring this entire form, completed and signed, with all the original document and albums listed in #3 to the meeting with the Rabbis. 7. Come to the meeting with your parents, grandparents, great-grandparents and their siblings. 8. Verification process does not guarantee confirmation of Jewish identity/lineage. 9. Confirmation of Jewish identity/lineage is done by a Jewish Court (Beit Din). 10. The entire process, after meeting with the rabbis, will take 1 2 months. Instructions on pages 3 and 7 read and understood Date / /2 JRCC Application for Confirmation for Jewish Identity and Lineage Page 3
4 FAMILY TREE CHART Note: All dates to be DD/MM/YYYY Generation 2 DDC# Mother B Last Name Jewish Yes No Unknown First Name Adopted Yes No Unknown Hebrew Name Converted Yes No Unknown Maiden Name Israeli ID# (Zehut) Never had Unknown Birth Date/ Place / / // Marriage Date/Place / / // 1st 2nd 3rd Death Date / / Cemetery Jewish Y / N /? Address City, State, Zip, Country Cell Phone Generation 1 Applicant Last Name First Name Hebrew Name Maiden Name Cohen Levi Israel Israeli ID# (Zehut) Birth Date/ Place / / // Marriage Date/Place / / // Death Date / / Address City, State, Zip, Country Cell Phone DDC# Generation 3 DDC# DDC# Maternal Grandmother D Last Name Jewish Yes No Unknown First Name Adopted Yes No Unknown Hebrew Name Converted Yes No Unknown Maiden Name Israeli ID# (Zehut) Never had Unknown Birth Date/ Place / / // Marriage Date/Place / / // 1st 2nd 3rd Maternal Grandfather Last Name Jewish First Name Adopted Yes No Unknown Yes No Unknown Hebrew Name Converted Yes No Unknown Cohen Levi Israel Unknown Israeli ID# (Zehut) Never had Unknown Birth Date/ Place / / // Marriage Date/Place / / // 1st 2nd 3rd Death Date / / Cemetery Jewish Y / N /? Death Date/ Place / / Cemetery Jewish Y / N /? Address City, State, Zip, Country Address City, State, Zip, Country Cell Phone Cell Phone DDC# DDC# DDC# DDC# Generation 4 Maternal Grandmother's Mother H Maternal Grandmother's Father I Maternal Grandfather's Mother J Maternal Grandfather's Father K Last Name Last Name Last Name Last Name First Name /Hebrew Name First Name /Hebrew Name First Name /Hebrew Name First Name /Hebrew Name Jewish Yes No Unknown Jewish Yes No Unknown Jewish Yes No Unknown Jewish Yes No Unknown Adopted Yes No Unknown Adopted Yes No Unknown Adopted Yes No Unknown Adopted Yes No Unknown Converted Yes No Unknown Converted Yes No Unknown Converted Yes No Unknown Converted Yes No Unknown Maiden Name Cohen Levi Israel Unknown Maiden Name Cohen Levi Israel Unknown Israeli ID# (Zehut) Israeli ID# (Zehut) Israeli ID# (Zehut) Israeli ID# (Zehut) Birth Date/ Place / / Birth Date/ Place / / Birth Date/ Place / / Birth Date/ Place / / Marriage Date/Place / / Marriage Date/Place / / Marriage Date/Place / / Marriage Date/Place / / 1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd 1st 2nd 3rd Cemetery name Cemetery name Cemetery name Cemetery name Death Date/ Place / / Death Date/ Place / / Death Date/ Place / / Death Date/ Place / / Jewish Y / N /? Jewish Y / N /? Jewish Y / N /? Jewish Y / N /? Address Address Address Address City, State, Zip, Country City, State, Zip, Country City, State, Zip, Country City, State, Zip, Country Cell/ /Phone Cell/ /Phone Cell/ /Phone Cell/ /Phone E Page 4 JRCC Application for Confirmation of Jewish Identity and Lineage
5 Gender Male Female Jewish Yes No Unknown Adopted Yes No Unknown Converted Yes No Unknown Unknown _ Never had Unknown 1st 2nd 3rd Cemetery Jewish Y N Unknown A DDC# Father C Last Name Jewish Yes No Unknown First Name Adopted Yes No Unknown Hebrew Name Converted Yes No Unknown Cohen Levi Israel Unknown Israeli ID# (Zehut) Never had Unknown Birth Date/ Place / / // Marriage Date/Place / / // 1st 2nd 3rd Death Date / / Cemetery Jewish Y / N /? Address City, State, Zip, Country Cell Phone DDC# DDC# Paternal Grandmother Last Name Jewish Yes No Unknown F Paternal Grandfather Last Name Jewish Yes No Unknown G First Name Adopted Yes No Unknown First Name Adopted Yes No Unknown Hebrew Name Converted Yes No Unknown Hebrew Name Converted Yes No Unknown Maiden Name Cohen Levi Israel Unknown Israeli ID# (Zehut) Never had Unknown Israeli ID# (Zehut) Never had Unknown Birth Date/ Place / / // Birth Date/ Place / / // Marriage Date/Place / / // 1st 2nd 3rd Death Date / / Cemetery Jewish Y / N /? Death Date / / Cemetery Jewish Y / N /? Address Address City, State, Zip, Country City, State, Zip, Country Cell Phone Cell Phone DDC# DDC# DDC# DDC# Paternal Grandmother's Mother L Maternal Grandmother's Father M Paternal Grandfather's Mother N Paternal Grandfather's Father O Last Name Last Name Last Name Last Name First Name /Hebrew Name First Name /Hebrew Name First Name /Hebrew Name First Name /Hebrew Name Jewish Yes No Unknown Jewish Yes No Unknown Jewish Yes No Unknown Adopted Yes No Unknown Adopted Yes No Unknown Adopted Yes No Unknown Converted Yes No Unknown Converted Yes No Unknown Converted Yes No Unknown Maiden Name Cohen Levi Israel Unknown Maiden Name Israeli ID# (Zehut) Israeli ID# (Zehut) Israeli ID# (Zehut) Birth Date/ Place / / Birth Date/ Place / / Birth Date/ Place / / Birth Date/ Place / / Marriage Date/Place / / 1st 2nd 3rd Cemetery name Marriage Date/Place / / 1st 2nd 3rd Cemetery name Death Date/ place / / Death Date/ Place / / Death Date/ Place / / Death Date/ Place / / Jewish Y / N /? Jewish Y / N /? Jewish Y / N /? Jewish Y / N /? Address Address Address Address City, State, Zip, Country Marriage Date/Place / / 1st 2nd 3rd Cemetery name City, State, Zip, Country Marriage Date/Place / / // 1st 2nd 3rd City, State, Zip, Country Jewish Yes No Unknown Adopted Yes No Unknown Converted Yes No Unknown Cohen Levi Israel Unknown Israeli ID# (Zehut) Marriage Date/Place / / 1st 2nd 3rd Cemetery name City, State, Zip, Country Cell/ /Phone Cell/ /Phone Cell/ /Phone Cell/ /Phone JRCC Application for Confirmation of Jewish Identity and Lineage Page 5
6 Any additional Information including name, last name changes etc. Names of children and additional information 1. Teudat Zehut # Date of birth / / Additional information 2. Teudat Zehut # Date of birth / / Additional information 3. Teudat Zehut # Date of birth / / Additional information Page 6 JRCC Application for Confirmation of Jewish Identity and Lineage
7 Note: PART 2 - SIBLINGS APPLICATION FOR CONFIRMATION OF JEWISH IDENTITY AND LINEAGE Each column in the form refers to the siblings of the person mentioned in the corresponding box on Part 1 of the form (pages 4-5). Match the boxes and the columns using the letters indicated in the respective boxes & columns. For additional assistance use the information below: Letter Generation Person Page A 1 Siblings of Applicant 7 B 2 C 2 D 3 E 3 F 3 G 3 H 4 I 4 J 4 K 4 L 4 M 4 N 4 O 4 Siblings of Applicant s Mother Siblings of Applicant s Father Siblings of Maternal Grandmother Siblings of Maternal Grandfather Siblings of Paternal Grandmother Siblings of Paternal Grandfather Siblings of Maternal Grandmother s Mother Siblings of Maternal Grandmother s Father Siblings of Maternal Grandfather s Mother Siblings of Maternal Grandfather s Father Siblings of Paternal Grandmother s Mother Siblings of Paternal Grandmother s Father Siblings of Paternal Grandfather s Mother Siblings of Paternal Grandfather s Father A GENERATION 1 SIBLINGS of APPLICANT Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. JRCC Application for Confirmation of Jewish Identity and Lineage Page 7
8 B GENERATION 2 SIBLINGS of APPLICANT S MOTHER C GENERATION 2 SIBLINGS of APPLICANT S FATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. Page 8 JRCC Application for Confirmation of Jewish Identity and Lineage
9 D GENERATION 4 - SIBLINGS of SIBLING OF MATERNAL GRANDMOTHER E GENERATION 4 - SIBLINGS of SIBLINGS OF MATERNAL GRANDFATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. JRCC Application for Confirmation of Jewish Identity and Lineage Page 9
10 F GENERATION 3 SIBLINGS of PATERNAL GRANDMOTHER G GENERATION 3 SIBLINGS of PATERNAL GRANDFATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. Page 10 JRCC Application for Confirmation of Jewish Identity and Lineage
11 H GENERATION 4 - SIBLINGS of MATERNAL GRANDMOTHER S MOTHER I GENERATION 4 - SIBLINGS of MATERNAL GRANDMOTHER S FATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. JRCC Application for Confirmation of Jewish Identity and Lineage Page 11
12 J GENERATION 4 SIBLINGS of MATERNAL GRANDFATHER S MOTHER K GENERATION 4 SIBLINGS of MATERNAL GRANDFATHER S FATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. Page 12 JRCC Application for Confirmation of Jewish Identity and Lineage
13 L GENERATION 4 - SIBLINGS of PATERNAL GRANDMOTHER S MOTHER BURIAL CITY / CEMETERY BURIAL CITY / CEMETERY M GENERATION 4 - SIBLINGS of PATERNAL GRANDMOTHER S FATHER BURIAL CITY / CEMETERY BURIAL CITY / CEMETERY BURIAL CITY / CEMETERY BURIAL CITY / CEMETERY Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. JRCC Application for Confirmation of Jewish Identity and Lineage Page 13
14 N GENERATION 4 - SIBLINGS of PATERNAL GRANDFATHER S MOTHER O GENERATION 4 - SIBLINGS of PATERNAL GRANDFATHER S FATHER Enter information for additional siblings on a separate page. Mark with letter indicated in the appropriate black box above. Page 14 JRCC Application for Confirmation of Jewish Identity and Lineage
15 I,, have read, understood and agree with the above and have provided all information and documentation to the best of my ability and knowledge. I confirm that all of the information provided by me is true. I hereby further consent to the release and sharing of this information with the Rabbinate of Israel, the Rabbinate of the former Soviet Union and with all other institutions which JRCC interacts with in order to allow them to verify and/or substantiate any of the information contained in this application form. Signature: Date: / / FOR OFFICE USE FILE NUMBER: _ ID NUMBER: FIRST NAME: : CLERK MEETING DATE: / / RABBIS COMMITTEE MEETING DATE: / / MEETING ATTENDEES: DATE SENT: / / VERIFICATION RECEIVED: / / FOLLOW UP: / / MISSING DOCUMENTS/DATE: UNCLEAR DOCUMENTS /DATE: NOTES: JRCC Application for Confirmation of Jewish Identity and Lineage Page 15
16 Social Services Chesed Assistance Programs For more information Furniture Have furniture? Need Furniture? Phone: (416) x248 Jewish Identity Grants Tefilin Bank Mezuzah Bank Kashrut Grant Sheitel Grant Yeshiva Scolarship Complete form online: Meir Shlomo Simcha Gmach Gmach Meir Shlomo will provide interest free loans to the JRCC community for a Bris, a Bar Mitzvah or a Chupah/wedding. Phone: (416) x234 JVS Need a job? Looking for a better opportunity? Phone: (416) x0 JToronto: Matchmaking Service "Old school matchmaking with a modern twist" Phone: www. jtoronto.com Jewish Russian Community Centre of Ontario 5987 Bathurst Street, Suite 3, Toronto, ON M2R 1Z3 Tel: jrcc@jrcc.org
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