In Life

Occupation / Industry

Living at (Optional)
Address 1		Phone:
Address 2		e-mail:
Town or Sub	Post code
Country

Step 3 - Partnerships

Current or most recent Partner's Details
Partner's Name	First name	Middle names	Surname
Birth	Year of Birth	Born at
Death	Year of Death	Commemorated / Buried at (Do not complete if partner is alive)

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Previous Partner's Details
Partner's Name	First name	Middle names	Surname
Birth	Year of Birth	Born at
Death	Year of Death	Commemorated / Buried at (Do not complete if partner is alive)

Final Step - Provide your name (Contact information is optional) and submit your information