PERSONAL INFORMATION FORM

Please fill out as much of the form as you can.

Name given at birth: _________________________________________________ Ref. #______


Date of birth: ______________ (YYYY/MM/DD)


Place: __________________________________  Circle one:    Male    Female            


Titles and/or nicknames: __________________________________________________________


Is person now deceased?    Circle one:    Yes    No 


     If Yes, Date of death:  ______________ (YYYY/MM/DD)    


     Place: __________________________________________________________________
 

     Circle one:    Buried    Cremated		Date: ______________ (YYYY/MM/DD)    


     Place: __________________________________________________________________


Father's name: _______________________________________________________ Ref. #______


Mother's name: _______________________________________________________ Ref. #______ 


Was the person ever married?   Circle:   Yes    No    More than once?   Circle:   Yes    No 


Spouse's name: _______________________________________________________ Ref. #______ 


     Date of birth: ______________ (YYYY/MM/DD)    
 

     Marriage Date: ______________ (YYYY/MM/DD)    


     Place: __________________________________________________________________
 

Child's name: _________________________________________________________ Ref. #______ 


     Date of birth: ______________ (YYYY/MM/DD)      


     Place: __________________________________  Circle one:    Male    Female            


Child's name: _________________________________________________________ Ref. #______ 


     Date of birth: ______________ (YYYY/MM/DD)      


     Place: __________________________________  Circle one:    Male    Female            


Fill out a Family Inquiry Form for each marriage and any unmarried relationship that produced children. 

Also, please add any other information that might help in tracing this person's ancestors and descendants.
You can write on the back of this form and/or add additional sheets if necessary.  

Other helpful information might include: 
               Military service information            Occupational information
               If name officially changed              Immigration info and citizenship(s)
               Baptismal date and place                Christening date and place
               Club memberships                        Religious denomination and involvements