Before submitting your application form you should read the following:

Information Sheet 1 - Explanation of the 2 stages involved in obtaining a Family History Report.

Information Sheet 2 - guidance for collecting essential material prior to commissioning a Family History Report.

 

Mayo Family History Report

Application Form

 

If applying to the North Mayo Centre, please click here for an Application Form.

Please print the following form, fill in and return it to us.

South Mayo Family Research Centre
Main Street
Ballinrobe
Co Mayo
Ireland

Tel: + 353 (0) 94 954 1214
Fax: + 353 (0) 94 954 1103
E-mail: soumayo@iol.ie

Applicant's Name:

_____________________________________________________________________

 

Address: _____________________________________

_____________________________________________________________________

_____________________________________________________________________

Postal Code: _______________________

Country: _________________________    Date: _____________

 

Questionnaire

The research department requires certain details about a known Mayo ancestor before they can begin a search of the records available to them. Please answer as many questions as possible and add or enclose any further information you have which is not covered by this questionnaire.

Your Ancestor's Details

All following questions relate specifically to the person named at A. The ancestor named at A should have a birth date prior to 1901.

A Your ancestor's full name

_____________________________________________________________________

 

B Date and place of birth

_____________________________________________________________________

_____________________________________________________________________

 

C Mother (name & pre-marriage surname)

_____________________________________________________________________

 

Father (name)

_____________________________________________________________________

 

Brothers and Sisters (names)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

D Marriage(s) (any available information & dates)

_____________________________________________________________________

_____________________________________________________________________

 

E Death details (date & place of burial)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

F Emigration details (if any)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

G Occupation

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

H Religious denomination

_____________________________________________________________________

 

I Any other details

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

Declaration

  • I have read Information Sheet 1 and Information Sheet 2
  • I am a direct descendant of the person described in the ancestral details on this form.
  • Any information I receive as a result of this undertaking will not be submitted in legal proceedings.

I have read and understand the above.

Signed: ______________________________  Date: __________________

 

You may wish to make a copy of this application for your records.

Fees

The assessment fee is euro95 (or, the equal amount in your own currency). This fee is based on the time and expense involved in carrying out a thorough assessment. Please forward the fee with this form.

Please make cheques payable to: Mayo Family History Research Centre

You can also pay by Master Card or Visa. Please enter Credit Card details below.

Account No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Card Holder's name ______________________________________________

Expiry Date ______________________

Type of Card _____________________________

Card Holder's address _______________________________________

________________________________________________________________

Signed by Card Holder _______________________________________________

 

Market Research

As part of our on-going market research programme, we would be grateful if you completed the following: (This information is purely for statistical purposes.)

Q1) How did you hear about the Mayo Family History Centres?

_____________________________________________________________________

_____________________________________________________________________

Q2) Please indicate with a whether you are Male or Female ____________

Please indicate with your age group: 18-24, 25-34, 35-44, 45-54, 55-64, 65+ _________

Q3) Your occupation: ______________________________________________________________

Your co-operation is much appreciated.

 

For Office Use Only

Customer No.: ____________________ Date: ____________________

(c) Copyright Mayo Family History Marketing Company Ltd.

Mayo Family History Centres

| The Centres | Return to your Roots | What is a Family History Report? |

Sample Report
| Contents | Introduction | Page 2 | Page 5 |

Ordering a Report
| Order Form | Information Sheet 1 | Information Sheet 2 |

To find out more about the centres, you can contact them at: 

Mayo North Family Heritage Centre
Enniscoe
Castlehill
Ballina
Co Mayo
Ireland

Tel: + 353 (0) 96 31809
Fax: + 353 (0) 96 31885

South Mayo Family Research Centre
Main Street
Ballinrobe
Co Mayo
Ireland

Tel: + 353 (0) 94 954 1214
Fax: + 353 (0) 94 954 1214

 Logo

The

Mayo Family History Centres

are members of the

Irish Family History Foundation.

 

Irish Link
Properties for Sale

 

Irish Family History Foundation Home Page

Site designed and hosted by Mayo Ireland Ltd
See
Link Ireland for other Irish sites.

Disclaimer
In no event shall Mayo Ireland Ltd be liable for any incidental or consequential damages, lost profits, or any indirect damages arising from any errors in these pages.

copyright © 1996 - 2003 Mayo Ireland Ltd