Levasseur Families
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Instructions for filling this form:
  • You do not need to fill all of the spaces. If you do not have the information for certain persons or dates, leave a blank space or indicate N.A. (non applicable).
  •  IMPORTANT: Use the TAB key to move from one space to another. Once you have completed the form, you may send it by clicking on “SUBMIT” at the end of the form.
  • Do NOT use the ENTER key, which would result in sending the form before it is completed. If this should happen inadvertently, just click on “PREVIOUS PAGE” and complete the form, then click on “SUBMIT”. Use the “CANCEL” key sparingly since it will erase all spaces. If this should happen inadvertently, just click on “PREVIOUS PAGE” and complete the form, then click on “SUBMIT”. 
  • If you wish to convey special information, you may use the space entitled “Notes or details” to indicate your comments.
  • For reasons of uniformity, please indicate dates as follows: dd/mm/yyyy, for example 19/06/1956 for June 19, 1956.

File to be completed (the areas marked * are compulsory)


1 First and last names:   (*)
2 e-mail address:  (*)
3 Date and place of birth :
4 Name of your husband/wife:
5 Date of your marriage:
6 Place of marriage:
7

Please,complete the genealogical information regarding your children (name, date and place of birth):

 

8

Please,complete the genealogical information regarding your brothers and sisters name, date and place of birth):

 
9 Your father's name:  (father)  (*)
10 Your mother's name: (mother)  (*)
11  Your parents were married: 
12 Place of marriage:  
13

   


L'Association des Levasseur d'Amérique

© A.L.A.  - Mise à jour / updated : 01/09/05