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Member / Name: Surname:
Birth date: (dd-mm-yyyy): Place of birth:
Father's name in full:
Mother's maiden name in full:
Wedding (dd-mm-yyyy: Place of birth:

 

Spouse/partner/Name: Surname:
Birth date: (dd-mm-yyyy): Birthplace:
Father's name in full:
Mother's maiden name in full:

 

Second wedding: If appropriate, same details as above:
 
 

 

Descendants - Include the name of all your children

Name of child

Place and date of birth (dd-mm-yyyy)

If married or living together; include
place, date, name of partner
and name of the parents
     
     
     
     
     
     
     
     
     
     
Use a second page if necessary.

 

 Religious order:
Date of admission (dd-mm-yyyy):

Place and name of community (if appicable):