FAMILY GROUP/RECORD/HISTORY FORM...........please PRINT !!! of the _____________________________________________FAMILY ADDRESS_____________________________________________ ************************************************************************** HUSBAND's FULL NAME_______________________________________________________ date of birth________________ place of birth____________________________________________________________ death date_____________________ Occupation________________________________________________________________ HIS FATHER________________________________________________________________ date of birth_________________|place of birth_____________________________ death date_______________ HIS GRANDFATHER________________________________________________________ date of birth_________________|place of birth_____________________________ death date_______________ HIS MOTHER(maiden name)___________________________________________________ date of birth_________________|place of birth_____________________________ death date________________ HIS GRANDMOTHER(maiden name)____________________________________________ date of birth__________________|place of birth______________________________ death date________________ ************************************************************************** WIFE's FULL MAIDEN NAME___________________________________________________ date of birth________________ place of birth____________________________________________________________ death date_____________________ Occupation________________________________________________________________ HER FATHER________________________________________________________________ date of birth____________________ place of birth____________________________________________________________ HER MOTHER (maiden name)______________________________________________________ date of birth_________________|place of birth_____________________________ death date____________________ ************************************************************************** MARRIAGE DATE______________________|PLACE_________________________________ ************************************************************************** CHILDREN OF THIS MARRIAGE ************************FULL NAMES PLEASE****************************** #1________________________________________________________________________ sex_____birth____________________death_____________ married to________________________________________________________________ ************************************************************************** #2________________________________________________________________________ sex_____birth____________________death_______________ married to________________________________________________________________ ************************************************************************** #3________________________________________________________________________ sex_____birth___________________death_________________ married to________________________________________________________________ ************************************************************************** #4________________________________________________________________________ sex_____birth___________________death__________________ married to________________________________________________________________ ************************************************************************** #5________________________________________________________________________ sex_____birth___________________death________________ married to________________________________________________________________ ************************************************************************** #6________________________________________________________________________ sex_____birth__________________death__________________ married to________________________________________________________________ ************************************************************************** #7________________________________________________________________________ sex_____birth__________________death__________________ married to________________________________________________________________ ************************************************************************** #8________________________________________________________________________ sex_____birth__________________death__________________ married to________________________________________________________________ ************************************************************************** #9________________________________________________________________________ sex_____birth__________________death___________________ married to________________________________________________________________ ************************************************************************** #10_______________________________________________________________________ sex_____birth__________________death___________________ married to________________________________________________________________ ************************************************************************** this is the basic genealogy information needed to construct a family tree make a photo copy of this form for yourself,fill it in,and send the completed form back to me at : Cira Family GENEALOGY phone:> 626-584-9071 64 NORTH BERKELEY AVE. fax:> 213-922-3830 PASADENA,CA,91107-3548 email:> kb6axk@ix.netcom.com ***************************************(c) 1998 joseph a. cira *******************