|
■ |
Persons Full legal name |
|
■ |
Other Name/Nick Names of the
person |
|
■ |
Home address
|
|
■ |
Village of residence |
|
■ |
Other places of know residence |
|
■ |
Date of birth |
|
■ |
Place of birth |
|
■ |
Father's name |
|
■ |
Mother's maiden name
|
|
■ |
Other Name/Nick Names of
surviving relatives |
|
■ |
3-4 Most Recent Photograph
(select nice photos) |
|
■ |
Occupation
|
|
■ |
Place of burial (if
applicable) |
|
■ |
Clothing |
|
■ |
Clergy name and phone number
|
|
■ |
Survivors (name and
relationship) |
