Family Tree Chronicle and Family History Chronicle

Submit/Update Family Info/Data

YOU MAY SUBMIT OR UPDATE YOUR FAMILY INFO/DATA
USING THE ONLINE FORM BELOW (This is submitted via email)

PLEASE NOTE: For Privacy & Security Reasons It Is Strongly Suggested That The Form Below Be Used
For Deceased individuals Only!

If You May Also Submit/Update Your Family Info/Data Using Other Methods. Click Here To Find Out How...

The Form Below Is Quite Detailed & Lengthy. Please Be Patient & Diligent
to Complete As Much Of The Information As Possible. Complete Information
will Help With The Research & Preservation Of Our Heritage. Good
Genealogical Standards & Practice Notate The Sources Of The Information
So Please Provide Sources When Possible. Do Not Worry If Information
Cannot Be Completed. In That Situation Leave The Form Field Blank.
Additionally, Submissions Are Based On A Single Individual For
Each Marriage.

Hint: If You Need To Make Multiple Submissions For The Same Individual,
Once You Have Made Your Initial Submission Hit Your Browser's "Back"
Button And Your Data Should Still Be Preserved So That You Can Save
Yourself Time & Effort In Making The Additional Submission Once You
Have Made The Necessary Changes.

Today's Date:
Consent:
Submitted By (Name):
Address:
City:
State:
Postal Code:
Country:
Email:
Area Code & Telephone:


Relationship To The Primary Individual Below:


Use The Next 8 Form Fields Only If the Submitter Differs From The Primary Individual But Then Please Continue...

Primary Individual's Name:	(First Name, Middle Name, Last Name - Daniel Thomas Jungclas)

Address:
City:
State:
Postal Code:
Country:
Email:
Area Code & Telephone:

Please Continue...
Parents
Primary Individual's Father:
Primary Individual's Mother:	(Please Indicate Maiden Name If Known)

Birth
Primary Individual's Birth Date:
Primary Individual's Birth Place:
Primary Individual's Birth Source:

Baptism/Christening
Primary Individual's Baptism Date:
Primary Individual's Baptism Place:
Primary Individual's Baptism Source:

Death
Primary Individual's Death Date:
Primary Individual's Death Place:
Primary Individual's Cause of Death:
Primary Individual's Death Source:

Burial & Internment
Primary Individual's Burial/Internment Date:
Primary Individual's Burial/Internment Place:
Funeral Home/Director:
Primary Individual's Burial/Internment Source:

Alias & Title
Primary Individual's Alias:
Primary Individual's Title:

Faith/Religion & Church
Primary Individual's Religion:
Primary Individual's Religion Source:
Primary Individual's Church:
Primary Individual's Church Source:

First Communion
Primary Individual's First Communion Date:
Primary Individual's First Communion Place:
Primary Individual's First Communion Source:

Confirmation
Primary Individual's Confirmation Date:
Primary Individual's Confirmation Place:
Primary Individual's Confirmation Source:

Education
Primary Individual's Education:
Primary Individual's Education Place:
Primary Individual's Education Source:

Profession
Primary Individual's Profession:
Primary Individual's Profession Place:
Primary Individual's Profession Source:

Occupation
Primary Individual's Occupation:
Primary Individual's Occupation Place:
Primary Individual's Occupation Source:

Retirement
Primary Individual's Retirement:
Primary Individual's Retirement Place:
Primary Individual's Retirement Source:

Ethnic Group
Primary Individual's Ethnic Group:

Emigration (Departure)
Primary Individual's Emigration:
Primary Individual's Emigration Place:
Primary Individual's Emigration Source:

Immigration (Arrival)
Primary Individual's Immigration:
Primary Individual's Immigration Place:
Primary Individual's Immigration Source:

Naturalization
Primary Individual's Naturalization:
Primary Individual's Naturalization Place:
Primary Individual's Naturalization Source:

Marriage (Please Report Each Marriage As A Separate Submission See The Hint Noted At The Beginning)
Primary Individual's Marriage Order:	(Sample: First Marriage, Second Marriage, Etc)
Primary Individual's Spouse:
Marriage Date:
Marriage Place:
Marriage Source:
Marriage Status:	(Use This To Indicate A Divorce or Separation)
Marriage Status Date:
Marriage Status Place:
Marriage Status Source:

Children
Children & Birth Dates By This Marriage: (Please Report The Children Of Each Marriage As A Separate Submission)

Comments
Please Include Any Notes, Comments or Questions: