QUESTIONS FOR DATABASE            

SURNAME:

FIRST NAME:

MIDDLE NAME:

PLACE OF BIRTH:

DATE OF BIRTH:

RELIGION:

DATE OF MARRIAGE:

PLACE OF MARRIAGE:

SPOUSE FULL NAME:

CHILDRENS FULL NAMES:

1)

2)

3)

4)

5)

CHILDRENS PLACE & D.O.B & D.O.DEATH:

1)

2)

3)

4)

5)

DATE OF DEATH (PRIMARY ANCESTOR):

PLACE OF DEATH(PRIMARY ANCESTOR):

BURIAL PLACE (PRIMARY ANCESTOR):

SUBMITTED BY:

NAME:

ADDRESS:

POSTCODE:

EMAIL:

 

ADDITIONAL INFORMATION(YES/NO):

DO YOU HAVE ANY

IRISH COLBERT’S:

WELSH COLBERT’S:

SCOTTISH COLBERT’S:

ENGLISH COLBERT’S:

FRENCH COLBERT’S:

 

PLEASE CUT & PASTE QUESTIONNAIRE & EMAIL TO: colbert-ons@ntlworld.com

OR VIA POST: COLBERT O.N.S

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