"If you cannot get rid   of the family skeleton,   you may as well make   it dance"       George Bernard Shaw Site index for non-java browsers

YOUR FULL AND COMPLETE NAME: ......................................................................................................................................................... YOUR DATE OF BIRTH................................................................................................................ WHERE WERE YOU BORN.......................................................................................................... WHERE DID YOU LIVE................................................................................................................. WHERE DID YOU GO TO SCHOOL............................................................................................. WHAT IS / WAS YOUR OCCUPATION....................................................................................... WHAT ARE YOUR HOBBIES........................................................................................................ WHAT ARE YOUR OTHER INTERESTS....................................................................................... .......................................................................................................................................................... YOUR CURRENT ADDRESS......................................................................................................... YOUR FATHERS FULL NAME...................................................................................................... WHERE & WHEN BORN................................................................................................................ HIS OCCUPATION.......................................................................................................................... YOUR FATHERS PARENTS WERE............................................................................................. ......................................................................................................................................................... YOUR MOTHERS FULL NAME...................................................................................................... HER MAIDEN NAME....................................................................................................................... WHEN & WHERE BORN.................................................................................................................. YOUR MOTHERS PARENTS WERE................................................................................................ ............................................................................................................................................................. WHEN & WHERE WERE YOUR PARENTS MARRIED (if known)................................................... .............................................................................................................................................................. YOUR MOTHER AND FATHER HAD THE FOLLOWING CHILDREN:- (your brothers and sisters) 1.............................................born (where/when)......................................................... 2.............................................born............." ................................................................ 3.............................................born............."................................................................. 4.............................................born............."................................................................. 5.............................................born............."................................................................. 6.............................................born............."................................................................. 7.............................................born............."................................................................. 8.............................................born............."................................................................. 9.............................................born............."................................................................. 10...........................................born............."................................................................. ARE ANY OF THE ABOVE DECEASED? ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ......................................................................................................................................... ARE YOUR PARENTS DECEASED? ...............................................where & when?................................................................ ...............................................where & when?................................................................ FULL AND COMPLETE NAME OF YOUR SPOUSE: ......................................................................................................................................... DATE OF BIRTH OF SPOUSE....................................................................................... WHERE BORN................................................................................................................ SCHOOL......................................................................................................................... WHERE RESIDED........................................................................................................... OCCUPATION................................................................................................................ HOBBIES (and interests).................................................................................................. ......................................................................................................................................... FULL NAME OF FATHER............................................................................................. FULL NAME OF MOTHER............................................................................................ MAIDEN NAME OF SPOUSES MOTHER.................................................................... WHERE AND WHEN DID THEY MARRY.................................................................... .......................................................................................................................................... BROTHERS AND SISTERS OF YOUR SPOUSE: 1..................................................born (where/when)....................................................... 2..................................................born............"................................................................ 3..................................................born............"................................................................ 4..................................................born............"................................................................ 5..................................................born............"................................................................ 6..................................................born............"................................................................ 7..................................................born............"................................................................ 8..................................................born............"................................................................ INFORMATION ON YOUR MARRIAGE: YOUR NAME................................................................................................................... NAME OF SPOUSE......................................................................................................... WHERE MARRIED........................................................................................................... WHEN MARRIED............................................................................................................. YOUR CHILDREN: 1.......................................................born: when/where................................................................................. 2.......................................................born: when/where................................................................................. 3.......................................................born: when/where................................................................................. 4.......................................................born: when/where................................................................................. 5.......................................................born: when/where................................................................................. 6.......................................................born: when/where................................................................................. ARE ANY OF THE ABOVE CHILDREN MARRIED, IF YES, TO WHOM & WHEN? name:.........................................................when.......................................................... name:............................................................."............................................................. name:............................................................."............................................................. name:............................................................."............................................................. name:............................................................."............................................................. name:............................................................."............................................................. If any of your children are married and have children of their own, would they be prepared to complete a "family questionnaire" of their own? Please forward their name and address so a questionnaire can be sent to them. IF YOU KNOW OF ANY FAMILY MEMBER/S THAT ARE INTERESTED IN THE FAMILY HISTORY, COULD YOU PLEASE FORWARD THEIR NAME AND CURRENT ADDRESS? ..................................................................................................................................... ..................................................................................................................................... ..................................................................................................................................... DO YOU HAVE ANY PAPER CLIPPINGS, PERTAINING TO FAMILY EVENTS, THAT COULD BE COPIED? ........................................................................................................................... DO YOU HAVE ANY BIRTH, MARRIAGE OR DEATH CERTIFICATES THAT COULD BE COPIED? ........................................................................................................................... DO YOU HAVE ANY PHOTOGRAPHS THAT YOU WOULD BE WILLING TO HAVE REPRODUCED? ........................................................................................................................... I do appreciate the time that has been spent on answering the above questions. If at anytime there are further additions or corrections could you please notify me as soon as possible?