Free Initial Assessment

Assessment form

**Please note any research carried is on the understanding that the client has provided accurate and factual information on this form. Any inaccurate information may result in additional hours being spent on the project. Any subsequent information provided by the client after the initial assessment may also result in additional hours being spent on the project. So please provide ALL information you have now to ensure an accurate assessment.**


Part A your information

Name:

Address:

Email:

Viber or Skype details:

Tel no:

What service would you like us to provide?:

General Family history one branchExpanded family history more than one branchAncestor BiographyFamily Tree

Please state any other requirements:

Part B about your Ancestor:

(If you are unable to answer any question please enter N/A in box)

Name:

Date of Birth:

Place of Birth:

County or town of origin:

Townland:

Address:

Occupation:

Religion:

Name of Spouse:

Religion of Spouse:

Date & place of marriage:

Names & dates of birth of children:

Where is your ancestor buried?

Name of your ancestor siblings and dates of birth:

Names & address of your ancestor’s parents:

Names & address of your ancestor’s Grandparents:

If they emigrated from Ireland please give year of emigration and port of departure and Arrival:

Most families have handed down stories about their families; please provide any details of those stories below::

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