Please print this form, fill in the details, and post to us. A minimum non-refundable charge of €45 must accompany all research requests. IMPORTANT: PLEASE MAKE CHEQUES PAYABLE TO KILDARE GENEALOGYLocal Studies, Genealogy & Archives, Date: ____________________________________ Applicant's Name: _______________________________________________________________________________ Address: _______________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Email Address: ____________________________________________ In the following questionnaire please give as many details as possible. Please add any other information which you think may be relevant. Name of my ancestor: ___________________________________________________________________________ Date of Birth: ___________________________________________________________________________________ Place of Birth: __________________________________________________________________________________ Father's Name: _________________________________________________________________________________ Father's Date of Birth ____________________________________________________________________________ Mother's Name: ________________________________________________________________________________ Mother's Date of Birth: ___________________________________________________________________________ Their Place of Birth: _____________________________________________________________________________ Their religious denomination: _____________________________________________________________________ Date/Place of their marriage: _____________________________________________________________________ Siblings of Ancestor named above: _________________________________________________________________ ______________________________________________________________________________________________ When did your ancestor emigrate?: _________________________________________________________________ Other relevant information: ________________________________________________________________________ |