Civil record questionnaire

CIVIL RECORD

CIVIL RECORD

To be filled to the best of your knowlege. This not a legal document, it used in all of our cases to draft the powers of attorney and to submit a full family tree to the notary.

YOURSELF

(NAME AT BIRTH)
DISABILITY (Are you crippled ?)
DISABLED EX SERVICE MAN (Are you disabled ex-serviceman at leat 50% ?)
MARITAL STATUS

SPOUSE

(NAME AT BIRTH)

EX-SPOUSE (If applicable)

EX-SPOUSE 1

(NAME AT BIRTH)

EX-SPOUSE 2

(NAME AT BIRTH)

EX-SPOUSE 3

(NAME AT BIRTH)

EX-SPOUSE 4

(NAME AT BIRTH)

EX-SPOUSE 5

(NAME AT BIRTH)

YOUR FATHER

(NAME AT BIRTH)

YOUR MOTHER

(NAME AT BIRTH)

HOW MANY CHILDREN DO YOU HAVE?

CHILDREN 1

(NAME AT BIRTH)

CHILDREN 2

(NAME AT BIRTH)

CHILDREN 3

(NAME AT BIRTH)

CHILDREN 4

(NAME AT BIRTH)

CHILDREN 5

(NAME AT BIRTH)

CHILDREN 6

(NAME AT BIRTH)

CHILDREN 7

(NAME AT BIRTH)

CHILDREN 8

(NAME AT BIRTH)

CHILDREN 9

(NAME AT BIRTH)

CHILDREN 10

(NAME AT BIRTH)
DO YOU HAVE BROTHER(S) AND SISTER(S)

HOW MANY BROTHERS & SISTERS DO YOU HAVE? (Half-brothers ans sisters included)

BROTHER OR SISTER 1

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 2

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 3

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 4

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 5

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 6

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 7

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 8

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 9

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

BROTHER OR SISTER 10

(If applicable)
(NAME AT BIRTH)
(NAME AT BIRTH)

REMARKS

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