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Waterford Heritage Service

Genealogical Research Form

Applicant's Name

Address :

Email Address :

Telephone :

Please fill out the following as best you can; not all of the information it asks for is essential, but a genealogical search can only be as good as the information provided.

1. Name of Irish born Ancestor :

2. Approximate Date of Birth :

Supply the following if available :

3. Place of Birth (Parish/County) :

4. Religion of Ancestor :

5. Parents of Ancestor :

6. Brothers & Sisters of Ancestor :

7. Death / Date / Place :

8. Marriage / Date / Place / Partner :

9. Additional Information