1. Surname, name,
patronymic.......... Ulyanov (Lenin) Vladimir
Ilyich
2. With what vote (decisive or consultative) participating
3. Delegate card No........... 1
4. By what organization delegated........... CC RCP
5. In which All-Russian party conferences and congresses participated
with a decisive vote:
in all congresses except 1898 and summer 1917, in probably almost all conferences.
6. Year of birth: .......... 1870........... year.
7. Nationality.......... Great Russian
8. Education (primary, secondary, higher).
9. a) Main profession and specialty before 1917.............. publicist
b) How many years worked in this profession:
from
1894 TO
1917, i.e. 23.......... years.
10. a) Main source of livelihood before 1914............. literary
earnings and party support
b) in 1914—1917.................................................... same
c) in 1917—1921...... same until 25.X. 1917.
After
25/X support from the Soviet government.
11. What Soviet work are you currently performing.
Chairman of the Council of People's Commissars and Council of Labour and Defence
12. What participation do you currently take:
b) in trade union work: do not actually participate

Questionnaire of a delegate to the XI All-Russian Conference of the RCP(b),
filled out by V. I. Lenin.
December 11, 1921.

13. What party work are you currently performing
Member of the CC RCP
14. When did you join the R.C.P.: in ...........1895 ............. year.
15. Were you previously in other parties, when, which ........... no
16. Were you subjected to repression for revolutionary activity (when)
arrest and exile in 1887; arrest and exile to East Siberia 1895(XII)—1900.
How much time spent:
1) in prison.......... for several days in .......... and 1900; .......... months 1895—1897.
2) in penal servitude .........was not
3) in exile ............three years (Yenisei province, Minusinsk district).
4) in emigration ...........1900— 1905 and 1908— 1917
Signature ............V. Ulyanov (Lenin)

of December ......1921.