Genealogy Form: Whitehead

Please fill out as much information as you can,

if unknown leave blank, partials names and dates

are ok ONLY if full names, dates are unknown.

 

Primary Genealogy Branch _________________________________________

 

Your First Name:  ___________________________

Your Middle Name: ______________________________

Your Last Name: _____________________________

Your Maiden (childhood) Last Name (if applicable):  _______________________________

Your Internet E-Mail Address: __________________________

Your Mailing Address:  ________________________________

Your Telephone Number:  ________________________________

Your Primary Occupation:  ________________________________

Your Father's First Name:  ________________________________

Your Father's Middle Name:  ________________________________

Your Father's Last Name:  ________________________________

Your Father's Date of Birth (mm/dd/yyyy):  ________________________________

Your Father's City of Birth:  ________________________________

Your Father's State/Province of Birth: ________________________________

Your Father's Country of Birth: ________________________________

Your Father's Date of Death (if applicable) (mm/dd/yyyy):  ________________________________

Your Father's Place of Death (if applicable):  ________________________________

Your Father's Cause of Death (if applicable): ________________________________  

Your Mother's First Name:  ________________________________

Your Mother's Middle Name: ________________________________ 

Your Mother's Maiden (childhood) Last Name:  ________________________________

Your Mother's Date of Birth (mm/dd/yyyy): ________________________________

Your Mother's City of Birth: ________________________________

Your Mother's State/Province of Birth: ________________________________ 

Your Mother's Country of Birth: ________________________________

Your Mother's Date of Death (if applicable) (mm/dd/yyyy): ________________________________

Your Mother's Place of Death (if applicable): ________________________________

Your Mother's Cause of Death (if applicable): ________________________________

Your Grandparent's First Name:  ________________________________

Your Grandparent's Middle Name: ________________________________ 

Your Grandparent's Last Name: ________________________________ 

Earliest known Province or City where your ancestors are from:  ________________________________

Your known ancestral "farm names", "house names" or “nick names”:  ________________________________

Your earliest known ancestor's name:  ________________________________

 

Spouse: (1) (if applicable): 

Marriage date: ________________________________

Divorced date: ________________________________

Death date: ________________________________

Your Spouse First Name: ________________________________

Your Spouse Middle Name:  ________________________________

Your Spouse Last Name: ________________________________

Your Spouse Maiden (childhood) Last Name (if applicable): ________________________________ 

Your Spouse Father's First Name:  ________________________________

Your Spouse Father's Middle Name: ________________________________

Your Spouse Father's Last Name: ________________________________

Your Spouse Father's Date of Birth (mm/dd/yyyy): ________________________________ 

Your Spouse Father's City of Birth:  ________________________________

Your Spouse Father's State/Province of Birth: ________________________________ 

Your Spouse Father's Country of Birth:  ________________________________

Your Spouse Father's Date of Death (if applicable) (mm/dd/yyyy): ________________________________

Your Spouse Father's Place of Death (if applicable): ________________________________

Your Spouse Father's Cause of Death (if applicable): ________________________________  

Your Spouse Mother's First Name:  ________________________________

Your Spouse Mother's Middle Name:  ________________________________

Your Spouse Mother's Maiden (childhood) Last Name: ________________________________ 

Your Spouse Mother's Date of Birth (mm/dd/yyyy):  ________________________________

Your Spouse Mother's City of Birth: ________________________________

Your Spouse Mother's State/Province of Birth:  ________________________________

Your Spouse Mother's Country of Birth:  ________________________________

Your Spouse Mother's Date of Death (if applicable) (mm/dd/yyyy): ________________________________

Your Spouse Mother's Place of Death (if applicable): ________________________________ 

Your Spouse Mother's Cause of Death (if applicable): ________________________________ 

Your Spouse Grandparent's First Name: ________________________________

Your Spouse Grandparent's Middle Name: ________________________________

Your Spouse Grandparent's Last Name: ________________________________ 

Earliest known Province or City where your Spouse ancestors are from:  ________________________________

Your Spouse known ancestral "farm names", "house names" or “nick names”: ________________________________

Your Spouse earliest known ancestor's name:  ________________________________

 

Spouse (2) (if applicable):

Marriage date: ________________________________

Divorced date: ________________________________

Death date: ________________________________

Your Spouse First Name: ________________________________ 

Your Spouse Middle Name:  ________________________________

Your Spouse Last Name: ________________________________

Your Spouse Father's First Name:  ________________________________

Your Spouse Father's Middle Name:  ________________________________

Your Spouse Father's Last Name:  ________________________________

Your Spouse Father's Date of Birth (mm/dd/yyyy): ________________________________

Your Spouse Father's City of Birth: ________________________________

Your Spouse Father's State/Province of Birth: ________________________________ 

Your Spouse Father's Country of Birth:  ________________________________

Your Spouse Father's Date of Death (if applicable) (mm/dd/yyyy):  ________________________________

Your Spouse Father's Place of Death (if applicable): ________________________________

Your Spouse Father's Cause of Death (if applicable): ________________________________  

Your Spouse Mother's First Name: ________________________________ 

Your Spouse Mother's Middle Name: ________________________________ 

Your Spouse Mother's Maiden (childhood) Last Name:  ________________________________

Your Spouse Mother's Date of Birth (mm/dd/yyyy):  ________________________________

Your Spouse Mother's City of Birth: ________________________________ 

Your Spouse Mother's State/Province of Birth: ________________________________ 

Your Spouse Mother's Country of Birth: ________________________________

Your Spouse Mother's Date of Death (if applicable) (mm/dd/yyyy):  ________________________________

Your Spouse Mother's Place of Death (if applicable): ________________________________ 

Your Spouse Mother's Cause of Death (if applicable): ________________________________

Your Spouse Grandparent's First Name:  ________________________________

Your Spouse Grandparent's Middle Name:  ________________________________

Your Spouse Grandparent's Last Name: ________________________________ 

Earliest known Province or City where your Spouse ancestors are from: ________________________________ 

Your Spouse known ancestral "farm names", "house names" or “nick names”: ________________________________

Your Spouse earliest known ancestor's name:  ________________________________

 

Child (1)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name: ________________________________ 

Child Last Name: ________________________________

Adopted (if applicable): ________________________________ 

Adopted last name (if applicable): ________________________________

Child Maiden (childhood) Last Name (if applicable): ________________________________ 

Child Internet E-Mail Address (if applicable): ________________________________

Child Mailing Address (if applicable):   ________________________________

 

Child (2)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name: ________________________________

Child Last Name: ________________________________

Adopted (if applicable): ________________________________

Adopted last name (if applicable):  ________________________________

Child Maiden (childhood) Last Name (if applicable): ________________________________ 

Child Internet E-Mail Address (if applicable): ________________________________  

Child Mailing Address (if applicable):   ________________________________

 

Child (3)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name:  ________________________________

Child Last Name: ________________________________

Adopted (if applicable):  ________________________________

Adopted last name (if applicable): ________________________________

Child Maiden (childhood) Last Name (if applicable):  ________________________________

Child Internet E-Mail Address (if applicable):  ________________________________

Child Mailing Address (if applicable):   ________________________________

 

Child (4)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name: ________________________________

Child Last Name: ________________________________

Adopted (if applicable):  ________________________________

Adopted last name (if applicable):  ________________________________

Child Maiden (childhood) Last Name (if applicable):  ________________________________

Child Internet E-Mail Address (if applicable):   ________________________________

Child Mailing Address (if applicable):   ________________________________

 

Child (5)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name:  ________________________________

Child Last Name: ________________________________

Adopted (if applicable):  ________________________________

Adopted last name (if applicable):  ________________________________

Child Maiden (childhood) Last Name (if applicable):  ________________________________

Child Internet E-Mail Address (if applicable):   ________________________________

Child Mailing Address (if applicable):   ________________________________

 

Child (6)

Gender: ________________________________

Child First Name:  ________________________________

Child Middle Name:  ________________________________

Child Last Name: ________________________________

Adopted (if applicable):  ________________________________

Adopted last name (if applicable):  ________________________________

Child Maiden (childhood) Last Name (if applicable):  ________________________________

Child Internet E-Mail Address (if applicable):   ________________________________

Child Mailing Address (if applicable):   ________________________________

 

Child (7)

Gender: ________________________________

Child First Name:  ________________________________