Information for Genealogy

First Name(s):

Family Name:

Gender


Email:

Place of Birth:  (Village, County, State, Country)

Birth Date :


(spell out the month: 29-Mar-1940)
Place of Death:  (Village, County, State, Country)

Date of Death: 


(or March 29, 1940)
Buried: (Cemetery, Village, State or Province)
Father:
First Name(s):
(English, Yiddish, Hebrew, etc.)

Father's Family Name:

Mother:
First Name(s):
(English, Yiddish, Hebrew, etc.)

Mother's (Birth/Maiden) Name:

1st Migrated to: (Village, County, State, Country)

Date:

2nd Migrated to: (Village, County, State, Country)

Date:

Qualifications:
 (education, graduation, degrees)

:

Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Biographical Notes: (TAGS: religious ceremonies such as brit mila, bat mitzvah, christening, wedding, etc. or religion, education, graduation, occupation, various residences, citations, emigration, immigration, naturalization, yartzeit, military, description, medical condition, cause of death, divorced, common law, etc.)
First Partner's Details: Wife
Husband
First Name(s):

Family Name:

Place of Birth:  (Village, County, State, Country)

Birth Date:

Place of Death:  (Village, County, State, Country)

Date of Death: 

Buried: (Cemetery, Village, State or Province)
Date of Marriage:

Place of Marriage:

Father:
First Name(s):
(English, Yiddish, Hebrew, etc.)

Father's Family Name:

Mother:
First Name(s):
(English, Yiddish, Hebrew, etc.)

Mother's (Birth/Maiden) Name:

1st Migrated to: (Village,County,State,Country)

Date:

2nd Migrated to: (Village,County,State,Country)

Date:

Qualifications:
Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Biographical Notes:

*If person was married more than one time, please fill out another form and submit with children of that marriage

Child 1: Male

Female

First Name(s):

Family Name:

Place of Birth: (Village, County, State, Country)

Birth Date:

Place of Death: (Village, County, State, Country) Date of Death:
Buried: (Cemetery, Village, State or Province)
Partner's Details*:

First Name(s):

Family Name:

Date of Marriage: Place of Marriage:
1st Migrated to: (Village,County,State,Country) Date:
2nd Migrated to: (Village,County,State,Country) Date:
Qualifications:
Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Job/Profession: Title: Date: To:
Biographical
Notes:

*If person was married more than one time, please fill out another form and submit with children of that marriage