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Genealogy Form Page:
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For #1, Main Surname, Please use one from the list here:
(these are the main surnames in my Database and
others that I am currently interested in...)
Enter The Main Surname That You Connect To.
Husband's Information:
Husband's Full Name:
Husband's Birth Date:
Place:
Marriage Date:
/ /
Place:
Husband's Death Date:
/ /
Place:
Husband's Burial Date:
/ /
Place:
Husband's Father's Information:
Husband's Father's Full Name:
Father's Birth Date:
/ /
Place:
Marriage Date:
/ /
Place:
Father's Death Date:
/ /
Place:
Father's Burial Date:
/ /
Place:
Husband's Mother's Information:
Husband's Mother's Full Name:
Mother's Birth Date:
/ /
Place:
Mother's Death Date:
/ /
Place:
Mother's Burial Date:
/ /
Place:
Wife's Information:
Wife's Full Name:
Wife's Birth Date:
/ /
Place:
Wife's Death Date:
/ /
Place:
Wife's Burial Date:
/ /
Place:
Wife's Father's Information:
Wife's Father's Full Name:
Father's Birth Date:
/ /
Place:
Marriage Date:
/ /
Place:
Father's Death Date:
/ /
Place:
Father's Burial Date:
/ /
Place:
Wife's Mother's Information:
Wife's Mother's Full Name:
Mother's Birth Date:
/ /
Place:
Mother's Death Date:
/ /
Place:
Mother's Burial Date:
/ /
Place:
Children's Information:
Child #1 - Full Name:
Birth Date:
/ /
Place:
Death Date:
/ /
Place:
Burial Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #2 - Full Name:
Birth Date:
/ /
Place:
Death Date:
/ /
Place:
Burial Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #3 - Full Name:
Birth Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #4 - Full Name:
Birth Date:
/ /
Place:
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #5 - Full Name:
Birth Date:
/ /
Place:
Burial Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #6 - Full Name:
Birth Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #7 - Full Name:
Birth Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #8 - Full Name:
Birth Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #9 - Full Name:
Birth Date:
/ /
Place:
Place:
Burial Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Child #10 - Full Name:
Birth Date:
/ /
Place:
Burial Date:
/ /
Place:
Spouse - Full Name:
Marriage Date:
/ /
Place:
Any Notes (Such as More kids, or any
other info):
Your Contact Info:
Your E-mail address:
Thanks for your information!!!
To get similar info on me, go to my Sitemap,
and get the Jack Hassell Gedcom.
C o n t a c t U s . . . . .