LOKRIG FAMILY APPLICATION Sheet (APPLICANTS FAMILY

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LOKRIG FAMILY APPLICATION Sheet (APPLICANTS FAMILY)
(Please PRINT!) F#:
LOKRIG Applicant’s Full Name:
Address:
Phone:
E-Mail Address:
Date Born**:
Place* Born:
Date Married:
Place* Married:
Military:
Church Aff:
Father:
Mother (Maiden):
Other Spouses:
Spouse’s Full Name (Maiden if applicable):
Date Born:
Place* Born:
Date Died:
Place* Died:
Buried At:
Father:
Mother (Maiden):
Other Spouse’s:
Born
Date
Children, Full Name & E-mail
Place*
** Write dates as
DAY MONTH YEAR
(16 Feb 1956)
*Add county if known
Misc. Info:
Died
Date
Place*
Married
1
2
3
4
5
6
7
8
9
10
11
12
Compiled by:
Submit to Membership: Loretta Bowers 18441 Woodside Drive, Hagerstown, MD 21740
LOKRIG Website
http://www.geocities.com/Heartland/Hills/8593/
Date:
Spouse
Date & Place*
Family Group Sheet
Husband's Full Name:
Date Born**:
Date Married:
Date Died:
Buried At:
Resided At:
Occupation:
Military:
Father:
Other Wife:
Wife's Full Maiden Name:
Date Born:
Date Died:
Buried At:
Father:
Other Husband:
(LOKRIG PARENTS)
(Please PRINT!)
F#:
** Write dates as
DAY MONTH YEAR
Place* Born:
Place* Married:
Place* Died:
(16 Feb 1956)
*Add county if known
Information
Obtained From:
E-Mail:
Church Aff:
Mother (Maiden):
Place* Born:
Place* Died:
Misc. Info:
Mother (Maiden):
Born
Children, Full Name & E-mail
Date
Place*
Died
Date
Place*
Married
1
2
3
4
5
6
7
8
9
10
11
12
Compiled by:
Submit to Membership: Loretta Bowers 18441 Woodside Drive, Hagerstown, MD 21740
LOKRIG Website
http://www.geocities.com/Heartland/Hills/8593/
Date:
Spouse
Date & Place*
Family Group Sheet
Husband's Full Name:
Date Born**:
Date Married:
Date Died:
Buried At:
Resided At:
Occupation:
Military:
Father:
Other Wife:
Wife's Full Maiden Name:
Date Born:
Date Died:
Buried At:
Father:
Other Husband:
(LOKRIG GRANDPARENTS)
(Please PRINT!)
F#:
** Write dates as
DAY MONTH YEAR
Place* Born:
Place* Married:
Place* Died:
(16 Feb 1956)
*Add county if known
Information
Obtained From:
E-Mail:
Church Aff:
Mother (Maiden):
Place* Born:
Place* Died:
Misc. Info:
Mother (Maiden):
Born
Children, Full Name & E-mail
Date
Place*
Died
Date
Place*
Married
1
2
3
4
5
6
7
8
9
10
11
12
Compiled by:
Submit to Membership: Loretta Bowers 18441 Woodside Drive, Hagerstown, MD 21740
LOKRIG Website
http://www.geocities.com/Heartland/Hills/8593/
Date:
Spouse
Date & Place*
Family Group Sheet
Husband's Full Name:
Date Born**:
Date Married:
Date Died:
Buried At:
Resided At:
Occupation:
Military:
Father:
Other Wife:
Wife's Full Maiden Name:
Date Born:
Date Died:
Buried At:
Father:
Other Husband:
(LOKRIG GREATGRANDPARENTS)
(Please PRINT!)
DAY MONTH YEAR
Place* Born:
Place* Married:
Place* Died:
(16 Feb 1956)
*Add county if known
Information
Obtained From:
E-Mail:
Church Aff:
Mother (Maiden):
Place* Born:
Place* Died:
Misc. Info:
Mother (Maiden):
Born
Children, Full Name & E-mail
Date
Place*
Died
Date
Place*
Married
1
2
3
4
5
6
7
8
9
10
11
12
Compiled by:
F#:
** Write dates as
Date:
Spouse
Date & Place*
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