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FACIUS FAMILY

PERSONAL INFORMATION FORM:

Full name

Nickname

Maiden name

Date and place of birth

Date and place of christening

Date and place of marriage(s)

Date of divorce(s)

Education/Occupation

Address

Date of Death

Date and place of burial

Names of parents
- enclose PERSONAL INFORMATION FORMS

Name of spouse(s)
- enclose PERSONAL INFORMATION FORM(s)

Names of Children
- enclose PERSONAL INFORMATION FORM(s)

Enclose other relevant information
-stories, experiences etc, and possible documents/materials in copy or original

 

Please print and fill out as much as possible - typewriter or blockletters - and send to:

Georg M. Facius, Loevsangervej 10, 8300 Odder, Denmark

Phone +45 8654 5587 FAX +45 8654 5587