Jordaan Family Association

Your reference number:  

Yes, I am interested in starting a Jordaan family association.

Full name: Postal address:
Name:
Name: Fax:
Occupation: E-mail:

I am interested to help manage the Jordaan family association Yes No

Please give an indication of how many copies of the complete Jordaan book you would like to order in the future.

Yes, I would like to receive an application form for Hugenote Association of South Africa.

Name
Postal Address Code

E-mail

 

JORDAAN QUESTIONNAIRE

Name:
Postal address and postal code:
Telephone number: Work Home Cell
Occupation: Home Language:
E-mail:
Full Name:
Date of Birth: Birth Place:
Name and maiden name of spouse: Place of Christening:
Names of spouse's parents: Date of birth of spouse:
Wedding date: Place:
Previous marriages:  
Name: Wedding date: Date of death: Date of divorce:
Permanent live-in relationships :  
Since
 		with
 		born on
 		at
Your children  
1. Full name Date of birth Birth place Date of death
Married on
 		to
 		at 
 E-mail
2. Full name Date of birth Birth place Date of death
Married on
 		to
 		at 
 E-mail
3. Full name Date of birth Birth place Date of death
Married on
 		to
 		at 
 		E-mail
4. Full name
 		Date of birth
 Birth place
 		Date of death
Married on
 		to
 		at 
 E-mail
5. Full name
 		Date of birth
 		Birth place
 		Date of death
Married on
 		to
 		at 
 		E-mail
6. Full name
 		Date of birth
 		Birth place
 		Date of death
Married on
 		to
 		at
 		E-mail
  Full name Date of birth Date of death E-mail
Your brothers and sisters
 
 
 
 
 
Your father
Your mother
Your mother's father
Your mother's mother
Your father's brothers and sisters  
 
 
 
 
Your grandfather
Your grandmother
Your grandmother's father
Your grandmother's mother
Your great-grandfather
Your great-grandmother
Your great-grandfather's name
Yuor great-grandfather's mother


Any other information, such as stories or names of farms or streets, that references Jordaan.