COUNTY SLIGO HERITAGE AND GENEALOGY SOCIETY

RESEARCH APPLICATION FORM

 SECTION 1 : APPLICANT DETAILS 

APPLICANTS NAME:___________________________________________________________________

ADDRESS:____________________________________________________________________________

_____________________________________________	POSTAL CODE: ____________________

COUNTRY:____________________________________	DATE:_____________________________

EMAIL:______________________________________	TELEPHONE NO:____________________

SECTION 2 : YOUR ANCESTORS DETAILS

All of the following questions relate to the ancestor named at A.  The ancestor named at A should have a birth date prior to 1901.  Please answer as many questions as possible.

A	YOUR ANCESTORS FULL NAME________________________________________________

B	DATE & PLACE OF BIRTH______________________________________________________

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C	MOTHER (Name & Pre marriage surname) __________________________________________

	FATHER (Name) _______________________________________________________________

	BROTHERS AND SISTERS (Names) ______________________________________________
	
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D	MARRIAGE(S) (Wife’s pre-marriage name, location & dates) ___________________________

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E	ANCESTORS CHILDREN _______________________________________________________

F	DEATH DETAILS (Date & place of burial) __________________________________________

G	EMIGRATION DETAILS (If any) 	_________________________________________________

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H	OCCUPATION _________________________________________________________________

I	RELIGIOUS DENOMINATION ___________________________________________________

J	ANY OTHER DETAILS _____________________________________________________________

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