Family Member Form

Family Member Form

First Name

Family Surname

Middle Name

Other Names

(Optional) Do you have any nicknames or a name in another language?

(Optional) Do you have any nicknames or a name in another language?

Born

(Optional: Lunar Birthday)

(Optional: Lunar Birthday)

Died

When did this person pass away?

When did this person pass away?

Status

AliveDeceased

Hometown, State, Country

Current Address

Please include street address, unit #, city, province/state, country and postal/zip code.

Please include street address, unit #, city, province/state, country and postal/zip code.

Phone Number

What's the best number to reach you by phone? (Please include country code)

What's the best number to reach you by phone? (Please include country code)

Profile Photo

Please upload a recent photo of yourself!

Please upload a recent photo of yourself!

Add image

Additional Info

Examples: social media handles, miscellaneous details

Examples: social media handles, miscellaneous details

Submit

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