THE COVINGTON DATABASE QUESTIONNAIRE


Tell me about yourself and your family so I can include you in the Covington History database. Please only include information that you are happy for me to publish on the Covington History website.

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First name

Last name

Date of birth

Place of birth

Father's name

Fathers date of birth

Father's place of birth

Mother's name,  maiden name, date & place of birth

Parents Marriage date

Parents Marriage location

Parents death dates, places, age

 

 

Father's brothers and sisters names, dates and places of birth (if applic)

Brothers and sisters names, dates and places of birth (if applic)

Spouses Name (if applic) & date/place of birth

Marriage date and place (if applic)

Children names, dates and places of birth (if applic)

Grandparents names, dates and places of birth, details of marriage, death (if applic)

Other Descendents?

Street address

City

State/Province

Zip/Postal Code

Country

Phone

E-mail

Occupation

Any other comments?. Please type in the space provided below:

                                                 

 

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Martin H Covington.
Copyright 2000 [MHC Agency]. All rights reserved.
Revised: October 12, 2005 .