Family Information Form

		FAMILY INFORMATION FORM

HUSBAND:
	Born:		Place:
	Married:		Place:
	Occupation:			Resided at:
	Church Affil.:			War Service:
	Died		Place:
	Buried		Place:
	Other wives:
	Father:
	Mother (maiden name):

WIFE:
	Born:		Place:
	Married:		Place:
	Church Affil.:			Occupation:
	Died:		Place:
	Buried:		Place:
	Other husband:
	Father:
	Mother (maiden name):

CHILDREN:		BORN		DIED	MARRIED
		When / Where		When / Where	To Whom / When / Where
1


2


3


4


5


6


7



	SOURCE:		TYPE:	Interview	DATE: