

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