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Date of Birth |
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Date of Birth |
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Place of Birth |
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Place of Birth |
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Name of Father |
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Name of Father |
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Name of Mother |
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Name of Mother |
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Date of Death |
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Date of Death |
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Place of Death |
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Place of Death |
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Burial |
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Burial |
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Religious Affiliation |
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Religious Affiliation |
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Education |
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Education |
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Occupation |
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Occupation |
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Military Experience |
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Military Experience |
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Affiliations, Clubs |
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Affiliations, Clubs |
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BIOGRAPHY: (Optional. Use reverse of this sheet or an additional sheet of paper, if needed). |
BIOGRAPHY: |
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HOW THEY MET (OPTIONAL) |
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MARRIAGE |
Date: |
Place: |
Name of Church, Minister (if known): |
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WHERE THEY LIVED |
City, State |
From |
To |
City, State |
From |
To |
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CHILD #1 |
Name |
CHILD #2 |
Name |
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Date/Place of Birth: |
Date/Place of Birth: |
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Date/Place of Death: |
Date/Place of Death: |
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CHILD #3 |
Name |
CHILD #4 |
Name |
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Date/Place of Birth: |
Date/Place of Birth: |
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Date/Place of Death: |
Date/Place of Death: |
Submitted By: (Your full name and group number, if known):
Contact Information: (Your home address or e-mail address):
Date of Submission:
Save this html page in the format of your word processing system to complete, or use as a
guide in completing the information independently of the form itself. Complete a worksheet
for each household (mother, father, children). Add additional children on the reverse of the
form, or at the bottom of the page. Children in one household
who marry will, in addition to appearing on their parents' worksheet as a child, also
have their own family worksheet, even if there is only a husband and wife. Fill out
one worksheet for each household, going as far back as you can. Note that worksheets can
also be filled out for unmarried couples with children, and "life partner" couples. Thank you
again for your kind assistance. Feel free to distribute this form to every Chute relation you
know, and have them return this form to: Jacqueline Chute,
[email protected], or mail to me at my current address (contact me for my current address!).
Index