GENEALOGY  FORM  RUDDER FAMILY

YOUR FULL NAME:

Male ...... Female .......                        DATE OF BIRTH (day/mo/year):

WHERE WERE YOU BORN?

TEL NO.:                                               PRESENT ADDRESS:

E-MAIL ADDRESS:

HOW MANY OF THE FOLLOWING DO YOU HAVE?   BROTHERS.........SISTERS.........SONS.........DAUGHTERS........

YOUR SPOUSE/PARTNER                                                D O B:                                D O D:

NAME(Use maiden name if female):                                    (date of birth)                                          (date of death)

YOUR ANCESTRAL PARENT:     Male :...... Female:........   D O B:                                  D O D:

FULL NAME:

WHERE BORN:

TEL NO.:                                               PRESENT ADDRESS:

HIS or HER SPOUSE/PARTNER                                       D O B:                                   D O D:

NAME (Use maiden name if female):

YOUR ANCESTRAL GRAND PARENT: Male ......  Female . .....  D O B:                           D O D:

FULL NAME:

WHERE BORN:

TEL NO.:                                               PRESENT ADDRESS:

HIS or HER SPOUSE/PARTNER                                         D O B:                                 D O D:

NAME (Use maiden name if female):

STORIES OR OTHER INFORMATION ON YOUR ANCESTORS:

(Such as: Names, children, relatives, districts or parishes where born or lived, occupations etc)

THIS FORM COMPLETED  BY:....................................................                   DATE:............................

Send by  email: to: ruddgen_y@yahoo.com

RR form 22/01/2007