Name Research Form Please complete this form with as much information as possible. KNOWN INFORMATION Surname: Given names: Year of Birth: Place of birth: Year of Arrival: Port: Name of ship: Father: Mother: Spouse: Occupation: Year Married: Place Married: Year of Death: Place of Death: Where Buried: Religion: CHILDREN Name: M/F: Male Female Year of Birth: Place of Birth: Add Child INFORMATION REQUESTED YOUR DETAILS Name: Email: Name: M/F: Male Female Year of Birth: Place of Birth: