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Genealogical Form


  1. Eddy individual your are reporting - Full name (including maiden name if female):
    Name
    Date of birth -- mm/dd/yyyy
    Sex Male Female
  2. Place of birth.


  3. Date of death :

    -- mm/dd/yyyy

  4. Place of death.


  5. Buried at:


  6. Spouse information:
    Name
    Date of birth -- mm/dd/yyyy
    Sex Male Female
  7. Place of Marriage:


  8. Date of Marriage :

    -- mm/dd/yyyy

  9. Date of death :

    -- mm/dd/yyyy

  10. Place of death and where buried.


  11. Spouse Father:
    Name
  12. Spouse Mother:
    Name

  13. If this individual (in block #1) is in any of the Eddy books, give date of book, page number,

    and genealogical number.


  14. Children by first marriage (please list full name, birthdate, place of birth, death date,

    and place of death)

     

  15. Children from second marriage (see above for information needed).


  16. Other information (more children from other marriages, other spouses, career details

    or other interesting facts)


  17. This person's (block #1 above) father:
    Name
    Date of birth-- mm/dd/yyyy
  18. This person's mother:

    Name
    Date of birth-- mm/dd/yyyy
  19. This person's Grandfather:
    Name
    Date of birth-- mm/dd/yyyy
  20. This person's Grandmother:

    Name
    Date of birth-- mm/dd/yyyy
  21. This person's Great Grandfather:

    Name
    Date of birth-- mm/dd/yyyy
  22. This person's Great Grandmother:

    Name
    Date of birth-- mm/dd/yyyy
  23. This person's Great Great Grandfather:

    Name
    Date of birth-- mm/dd/yyyy
  24. This person's Great Great Grandmother:

    Name
    Date of birth-- mm/dd/yyyy
  25. Please include date and place of death of above individuals:


  26. Sender's Information (who is sending this info):
    Please provide the following information about yourself:
    Name
    Title
    Organization
    Street address
    Address (cont.)
    City
    State/Province
    Zip/Postal code
    Country
    Work Phone
    Home Phone
    FAX
    E-mail
    URL


Copyright © 2007 by The Eddy Family Association. All rights reserved.
Last revised: July 29, 2007

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