8
(Father of no. 4)
4
(Father of no. 2)
9
(Mother of no. 4)
2
(Father of no. 1)
10
(Father of no. 5)
5
(Mother of no. 2)
11
(Mother of no. 5)
1
12
(Father of no. 6)
(Spouse/Partner of no. 1)
6
(Father of no. 3)
13
(Mother of no. 6)
3
(Mother of no. 1)
14
(Father of no. 7)
7
(Mother of no. 3)
15
BLANK PEDIGREE CHART
Please complete as much as you can
© Devon Family History Research 2014
www.devonfamilyhistoryresearch.co.uk
Completed by:
(Mother of no. 7)
Devon Family History Research
Family Information Form
Please complete as much as you can, as accurately as possible.
1. YOU
Your full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage(s) date(s):
1.
2.
Spouse(s) full name(s):
1.
2.
Marriage place(s):
1.
2.
Your occupation:
2. FATHER
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
3. MOTHER
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
Page 1 of 7
4. PATERNAL GRANDFATHER
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
5. PATERNAL GRANDMOTHER
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
6. MATERNAL GRANDFATHER
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
Page 2 of 7
7. MATERNAL GRANDMOTHER
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
You have eight great-grandparents (nos 8 – 15 inclusive):
8. PATERNAL GREAT-GRANDFATHER (please state the relationship with nos 4 – 7 if you can)
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
9.
PATERNAL GREAT-GRANDMOTHER (please state the relationship with nos 4 – 7 if you can)
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
Page 3 of 7
10. PATERNAL GREAT-GRANDFATHER (please state the relationship with nos 4 – 7 if you can)
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
11. PATERNAL GREAT-GRANDMOTHER (please state the relationship with nos 4 – 7 if you can)
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
12. MATERNAL GREAT-GRANDFATHER (please state the relationship with nos 4 – 7 if you can)
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
Page 4 of 7
13. MATERNAL GREAT-GRANDMOTHER (please state the relationship with nos 4 – 7 if you can)
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
14. MATERNAL GREAT-GRANDFATHER (please state the relationship with nos 4 – 7 if you can)
Full name:
Birth date:
Birth place:
Death date:
Place of death:
Burial place:
Occupation:
15. MATERNAL GREAT-GRANDMOTHER (please state the relationship with nos 4 – 7 if you can)
Full name and maiden name (if applicable):
Birth date:
Birth place:
Marriage date:
Place of marriage:
Death date:
Place of death:
Burial place:
Occupation:
Page 5 of 7
Do you have any other relevant information about your ancestors or any other relations?
This could include information about siblings, aunts, uncles, cousins etc
Do you have an overall research aim - or is there anything in particular you would like to find out?
If you have any family birth, marriage or death certificates or documents please list them here:
Page 6 of 7
Please provide details of any work already carried out on your family history (in order to avoid any
duplication by us):
© Devon Family History Research 2014
www.devonfamilyhistoryresearch.co.uk
Page 7 of 7