1 GENEALOGICAL RISING OF THE FAMILY FLUMIGNANO 1. His/her nome_____ ___________________________________________________ 2. Name of the father_________________________________ date virth __/___/___ Name of the mother_________________________________ date virth __ / __/___ 3. The grandfather paterno____________________________ date virth __/__ /___ The grandmother paterna____________________________ date virth __/__/____ The grandfather materno_____________________________ date virth __/___/__ The grandmother materna ____________________________ date virth __/__/___ 4. Name of woman __________________________________ date virth __/___/___ Place of the marriage: ________________________________ date virth ___/__/___ 5. The children's name: _____date virth_______ 1. ___________________________________________________________/___/_____ Address ___________________________________________ calls _______________ City_______________________________________________code________________ 2.___________________________________________________________ /___/_____ Address ___________________________________________ calls _______________ City _________________ _____________________________code_______________ 3. ____________________________________________________________/___/____ Address __________________________________________ calls _______________ City ______________________________ ________________code _______________ 4. __________________________________________________________/___/_____ Address __________________________________________ calls ________________ City ______________________________________________code________________ 5. ____________________________________________________________/___/____ Address __________________________________________ calls _______________ City ______________________________________________ cep_________________ 6. Their siblings' name: date virth______ 1. ____________________________________________________________/___/____ Address __________________________________________ calls _______________ City ______________________________________________ code ______________ 2. ____________________________________________________________/___/____ Address __________________________________________ calls ________________ City ______________________________________________code________________ 3._____________________________________________________________/___/____ Address __________________________________________ calls ________________ City _____________________________________________ code ________________ 4._____________________________________________________________/___/____ Address __________________________________________ calls ________________ City ______________________________________________code________________ 5. ____________________________________________________________/___/____ Address __________________________________________ calls ________________ City _____________________________________________ code _______________ Observation: In the verse he/she writes down his/her curriculum: studies, activities, places where it lived, etc. Don't inform dates that he/she is not sure. 2 MINIMUM QUESTIONNAIRE FOR ELABORATION OF HIS/HER BIOGRAPHY IN THE GENEALOGICAL RISING . Author of the research: Izidoro Flumignan - Fone +55 (41) 322.5467 - 232.3029 E-mail: izidoroflumignan@uol.com.br - Site: www.flumignano.com Related information his/her person: 1. His/her name ________________________________________________________ date virth __ / ___/___ City___ ___________________________________________ Current residence ______________________________________________________ Previous residence ______________________________________________________ 2. Name husband/woman ________________________________________________ date virth ___/___/____ City ______________________________________________ 3. Date marriage ___/___/____ City _______________________________________ Is it had picture or invitation of the marriage, can it order a copy? Information related to courses: 1. Course of primary level: Name of the establishment _______________________________________________ Year of conclusion ________ Official (?) ___________________________________ 2. Course of level medium or vocational: Name of the establishment _______________________________________________ Course species ____________________ start ___/___/____appointment__________ Conclusion ___/___/_____ Official (?) ___ ________________________________ 3. Course of upper level: Name of the institution __________________________________________________ Course species ____________________ start ___/___/____ appointment _________ Conclusion ___/___/_____ Official (?) ___________________________________ 4. Course of powders graduation: Specialization area _________________________________appointment _________ Conclusion ___/___/____ Official (?) ___________________________________ Fear of the conclusion work _____________________________________________ Year of the defense and publication ____/___/______ 5. Published works _____________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 6. Information related to the profession: Which his/her profession ______________________________ is autonomous? ____ Are you linked her/it some society in what exercises the profession? Name of the society _____________________________________________________ Section in that he/she works ______________________________________________ Public officer? Position or function ________________________________________ Name of the partition ___________________________________________________ I address of the partition _________________________________________________ 6.1 You are producing? Production area _______________________time _______ 6.2 Are announced in research institution, mention the name:__________________ I address: _________________________________________________ time________ 6.3 are announced in cultural institution, mention the name: ___________________ Endereço:__________________________________________________time________ 3 7. Activit supporting politician: __________________________________________ ______________________________________________________________________ 8. Social activities: Does he/she participate in service club? Name _______________________________ Do sedate: did ____________________ Exercise mandate? ____________________ Was it or is it head of him? Position _______________________________________ 9. Trip to the exterior. He/she dates and place __________________________________________________ I motivate of the trip ____________________________________________________ Did some meet relative in the exterior? Mention the name and address: _________ ______________________________________________________________________ 10. Write down other data that to want to complete the answers of the questions above and to integrate his/her biography: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ To return for: IZIDORO FLUMIGNAN Street Lamenha Lins no. 305 - ap. 73 CURITIBA (fax phone (041) 322.5758 code 80250-020 E-mail: izidoroflumignan@uol.com.br