Tipperary North Family History Research Centre, County Tipperary, Ireland.

Print out this form, fill in the details and post it with the Initial Search Fee
euro150 / $US210 / $Aust265 / Canadian $255 / ST£115: to:
The Tipperary North Family History Research Centre, Governor's House, Kickham St, Nenagh, County Tipperary, Ireland.

Ancestor's Name        ____________________________________
Ancestor's Place of Birth in County Tipperary___________________
Ancestor's Father ________________________________
Ancestor's Mother (including her pre-marriage surname)________________________________
Ancestor's approximate year of birth_________  
Ancestor's religious denomination __________________
Did your ancestor marry in Co Tipperary Yes or No ? ________
If yes,	(a) to whom ________________________________
        (b) approximate year	__________
        (c) names of children born in Co Tipperary _________________________________
:__________________________________________________________________________
When did your ancestor emigrate ? ___________
Names of brothers and sisters of your ancestor?  _________________________
:__________________________________________________________________________
Did your ancestor's parents emigrate?  ___________
Further information (if necessary use a separate sheet): :__________________________________________________________________________ :__________________________________________________________________________ Please fill in your name and address below: :__________________________________________________________________________ :__________________________________________________________________________ :__________________________________________________________________________ Enquirers should read the following CONDITIONS carefully before signing: (i) I give an assurance that I am availing of your services to obtain information solely about my own family lineage. (ii) I covenant that all information obtained by me from you shall be used for private research only and shall not be published or otherwise made available to the public without the consent in writing of the Tipperary North Family History Research Centre. Signed ________________________________ Date___________________

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