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To use this form just fill in details, Copy'n'paste into your email program and send to rlewin@dodo.com.au   Don't hit the submit button, I can't get that bit working............yet.

If your ancestors are in this history please help me keep it updated by filling out this form.  All information provided will be added to the Web site. I welcome all of your additions, comments and suggestions, photo's and request you forward this site to all your relatives.

 

Please provide as much detail as you can for addition to the History.

            The Family number of the person you identify with. eg F31    F

                            SURNAME                                First Names

              
 
Date of Birth.              Year    Place of Birth       Sex    
 
Religion                                    Occupation   

        Spouse's full name    

        Date of Marriage             Year       Place

            If you wish to, fill in another form for your spouse.

The following information is required to assist me in placing you correctly within the framework of the family.

  Fathers Full Name          

            Date of Birth.              Year    Place of Birth  

            Mothers (Maiden) Surname First Names

             Date of Birth.              Year    Place of Birth  

            Date of Marriage      Year  Place of Marriage  

                                                                Your Children.

            First Names                   Dates of Birth                            Sex              Place of Birth

    Year              

     Year              

     Year               

      Year               

      Year                

     Year               

                                                                Your Siblings.

  First Names                             Dates of Birth                            Sex                        Place of Birth

        Year                 

        Year                 

        Year                 

        Year                  

        Year                  

        Year                  

        Year                 

        Year                 

        Year                  

        Year                  

 Additional comments you wish to make, please include any dates of death/marriage for children/siblings

          Tell me how to get in touch with you if you wish:

Name

E-mail

Tel

FAX

 


Rod Lewin.
Revised: February 02, 2015 .