QUESTIONNAIRE

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Welcome to the Harraghy questionnaire.
Please fill in as many fields as you can.

If you can provide information on more than one family member, then you may find it easier to put the information on a spreadsheet and email it to us. A pre-formatted Excel Spreadsheet (PC format) is attached to this web page. You may find it simpler to download it and complete it off-line. Click on Download.

Details of person providing information.

01 Surname:

02 First name(s):

03 Your email address:

Your postal address.

04 Street:

05 Town:

06 County/State:

07 Postcode/Zipcode:

08 Country:

09 Tel. No.:

10 Fax. No.:

Please complete a separate questionnaire for each subject and provide as much information as possible.

Subjects details

101 Surname(as at birth):

102 Surname after marriage(if applicable):

103 First name(s)(formal version):

104 Name known by(familiar name(s)):

105 Date of birth:

106 Country of birth:

107 Town/City of birth:

108 Father's name:

109 Father's date of birth:

110 Mother's name:

111 Mother's date of birth:

112 Godfather's name:

113 Godmother's name:

Please provide names and dates of birth for any known close relations.

201 Children:

202 Brothers & Sisters:

203 Aunts & Uncles:

If subject is currently living please provide.

Subject's current postal address.

301 Street:

302 Town:

303 County/State:

304 Postcode/Zipcode:

305 Country:

306 Tel. No.:

307 Fax. No.:

If subject is now deceased please provide.

401 Date of death:

402 Cause of death:

403 Place of death:

404 Name(s) of person(s) present at death:

501 Please advise source(s) of your information; e.g. Family knowledge; Birth Certificate; Marriage Certificate; Death Certificate; etc, etc.

We also welcome any correspondence and information regarding the family name and the people who share its heritage.

We can be contacted by email at the address shown at the bottom of the page and you can email other Harraghy Connections by going to Contact Us.

This Web site is maintained by Tommy Harraghy.
This site is currently under reconstruction.
We welcome your feedback.

Email: harraghy@utvinternet.com

Please add our Web page to your Favorites. There are many external links on our pages and we would like you to ensure you can find your way back to us before you continue on your journey!