Data Form

Family Information Sheet

Family name: ________________ Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________

Death Date: _________________ Death Place: __________________________

Spouse’s Family Name: _________________ Full Names:______________________

Birth Date: _________________ Birth Place: ___________________________

Death Date: _________________ Death Place: __________________________

Marriage Date: _____________ Marriage Place:__________________________

Address: _________________________________________________

Tel: _____________________ Fax: _______________________

E-Mail : ____________________________

children:

1: Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________

2: Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________

3: Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________

4: Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________

5: Full Names:___________________________

Birth Date: _________________ Birth Place: ___________________________