HOLSTEIN Family History
My name is Belinda Walters (ggggg-granddaughter of Joseph HOLSTEIN) and I am currently in the on-going process of gathering information on the family tree. I would be very grateful if you could complete this form and help me fill in gaps on the HOLSTEIN family and by handing this form out to other members of the family we can keep our history up-to-date for future generations. Each form is for one family member so, if your children have a family they will also require their own form. If you require more room on the form, just indicate and write on the back. If you have any family stories, legends or photos you are happy to share for a future family tree book, please send them to mycontact details below along with your contact details. Your contributions are greatly appreciated, thank-you for keeping theHOLSTEIN family name alive and up-to-date.
Your Full Name:……………………………………………………………………………….Sex:………….
Date of Birth:…………………………………………Place of Birth:………………………………………...
Your contact details:…………………………………………………………………………………………...
Full Name of your Father:……………………………………………………………………………………..
Full Name of your Mother:…………………………………………………………………………………….
Date of Marriage:…………………………………..Place of Marriage:………………………………………
Married/Partner Full Name:……………………………………………………………………………………
Partner Date of Birth:………………………………Partner Place of Birth:………………………………......
Partner Date of Death:……………………………...Partner Place of Death:…………………………………
Divorce/Separation Date:………………………………………………………………………………………
(If re-married, please provide the above details on the back of the form)
Children (If re-married, please indicate the child’s biological father/mother next to box)
1. Full Name:……………………………………………………………………………………Sex:………...
Date of Birth:………………………………………Place of Birth:…………………………………………...
Date of Death:……………………………………...Place of Death:………………………………………….
Married/Partner Full Name:……………………………………………………………………………………
Date of Marriage:………………………………….Place of Marriage:……………………………………….
Partner Date of Birth:………………………………Partner Place of Birth:………………………………......
Partner Date of Death:……………………………...Partner Place of Death:…………………………………
Divorce/Separation Date:………………………………………………………………………………………
2. Full Name:……………………………………………………………………………………Sex:………..
Date of Birth:………………………………………Place of Birth:…………………………………………...
Date of Death:……………………………………...Place of Death:………………………………………….
Married/Partner Full Name:……………………………………………………………………………………
Date of Marriage:………………………………….Place of Marriage:……………………………………….
Partner Date of Birth:………………………………Partner Place of Birth:………………………………......
Partner Date of Death:……………………………...Partner Place of Death:…………………………………
Divorce/Separation Date:………………………………………………………………………………………
3. Full Name:……………………………………………………………………………………Sex:………..
Date of Birth:………………………………………Place of Birth:…………………………………………...
Date of Death:……………………………………...Place of Death:………………………………………….
Married/Partner Full Name:……………………………………………………………………………………
Date of Marriage:………………………………….Place of Marriage:……………………………………….
Partner Date of Birth:………………………………Partner Place of Birth:………………………………......
Partner Date of Death:……………………………...Partner Place of Death:…………………………………
Divorce/Separation Date:………………………………………………………………………………………
4. Full Name:……………………………………………………………………………………Sex:………..
Date of Birth:………………………………………Place of Birth:…………………………………………...
Date of Death:……………………………………...Place of Death:………………………………………….
Married/Partner Full Name:……………………………………………………………………………………
Date of Marriage:………………………………….Place of Marriage:……………………………………….
Partner Date of Birth:………………………………Partner Place of Birth:………………………………......
Partner Date of Death:……………………………...Partner Place of Death:…………………………………
Divorce/Separation Date:………………………………………………………………………………………
(If there are more than 4 children, please provide details on back of form)
Please post completed forms to:
Belinda Walters, 75 Crombie Ave, Bundall, QLD 4217
or scan and email: