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<title>Ulster Ancestry Primary Search - Research Questionnaire : Ancestral Research Service and Family Research</title>
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<meta name="description" content="Ulster Ancestry. By completing this genealogy questionnaire you can get a report on your ancestors. UA provide a specialist ancestral research service for those wishing to trace their family origins in Ulster.">
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<h2>Primary Search - Research Questionnaire</h2>

<h3>Primary 3 hour Search : US$<!--#include file="a-inc-basic-rep-price.html" --> / £50 Sterling</h3>

<p><font color="#004000" size="2" face="Trebuchet MS"><strong>This 3 hour search can be used for any purpose, whether it be as a

prelude to a later more widespread search or for a targeted search, say of a Church Register or Civil Record such as land

valuations or a Will, indeed any purpose the client chooses.<br>

<br>This inexpensive search is designed to give you a sound basis on which to take your research forward.</strong></font></p>

<hr size="1" color="#008080">

<table border="0" width="100%">

<tr>

<td width="100%"><form action="process.php" method="POST">

<p><strong>Please fill in as much information as you can. Please list any sources already checked by you.</strong></p>

<div align="center"><center><table border="0" cellspacing="1" width="100%">

<tr>

<td><font color="#800000"><strong>Your Name : *</strong></font></td>

<td><input type="text" size="30" name="Name" class="sm"></td>

</tr><tr><td><font color="#800000"><strong>Address : *</strong></font></td>

<td><textarea name="Address" rows="4"

cols="30" class="smtxt"></textarea></td>

</tr><tr><td><font color="#800000"><strong>Telephone :

</strong></font></td>

<td><input type="text" size="30" name="Phone"

class="sm"></td>

</tr><tr><td><font color="#800000"><strong>E. Mail : *</strong></font></td>

<td><input type="text" size="30" name="Email"

class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>E. Mail

Confirmation : * </strong></font></td>

<td><input type="text" size="30"

name="Email2" class="sm"></td>

</tr>

<tr>

<td>&nbsp;</td>

<td>&nbsp;</td>

</tr>

<tr>

<td><font color="#004000"><em><strong>Ancestors

Details</strong></em></font></td>

<td>&nbsp;</td>

</tr>

<tr>

<td><font color="#800000"><strong>Ancestors

Name :</strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Name" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Religion : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Religion" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Place Of

Birth : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Birth_Place" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Date Of

Birth : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Birthday" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Fathers

Name : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_FName" class="sm" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Mothers

Name : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_MName" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Place Of

Parents Marriage : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Parent_Marry_Place" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Date Of

Parents Marriage : </strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Parent_Marry_Date" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Siblings

Data : </strong></font></td>

<td><table border="0" cellpadding="3"

cellspacing="3" width="100%">

<tr>

<td align="center"><font

color="#000080" size="2"><em><strong>Name

Of Siblings</strong></em></font></td>

<td align="center"><font

color="#000080" size="2"><em><strong>Date

Of Birth</strong></em></font></td>

<td align="center"><font

color="#000080" size="2"><em><strong>Place

Of Birth</strong></em></font></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Name"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10"

name="Ancestor_Sibling_DOB1"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Birthplace1"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Name2"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10"

name="Ancestor_Sibling_DOB2"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Birthplace2"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Name3"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10"

name="Ancestor_Sibling_DOB3"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_Sibling_Birthplace3"

class="sm"></td>

</tr>

</table>

</td>

</tr>

<tr>

<td><font color="#800000"><strong>Ancestors

Spouse :</strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Spouse" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Place of

Ancestors Marriage :<br>

( if in Ireland )</strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Marry_Place" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Date of

Ancestors Marriage:</strong></font></td>

<td><input type="text" size="30"

name="Ancestor_Marry_Date" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Children

Data : </strong></font></td>

<td><table border="0" cellpadding="3"

cellspacing="3" width="100%">

<tr>

<td align="center"><font

color="#000080" size="2"><em><strong>Names

Of Children</strong></em></font></td>

<td align="center"><font

color="#000080" size="2"><em><strong>Dates

Of Birth</strong></em></font></td>

<td align="center"><font

color="#000080" size="2"><em><strong>Places

Of Birth ( if in Ireland ) </strong></em></font></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20" name="Ancestor_C_Name1"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10" name="Ancestor_C_DOB1"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_C_Birthplace1"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20" name="Ancestor_C_Name2"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10" name="Ancestor_C_DOB2"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_C_Birthplace2"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20" name="Ancestor_C_Name3"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10" name="Ancestor_C_DOB3"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_C_Birthplace3"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20" name="Ancestor_C_Name4"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10" name="Ancestor_C_DOB4"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_C_Birthplace4"

class="sm"></td>

</tr>

<tr>

<td align="center"><input type="text"

size="20" name="Ancestor_C_Name5"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="10" name="Ancestor_C_DOB5"

class="sm">-&gt;</td>

<td align="center"><input type="text"

size="20"

name="Ancestor_C_Birthplace5"

class="sm"></td>

</tr>

</table>

</td>

</tr>

<tr>

<td>&nbsp;</td>

<td>&nbsp;</td>

</tr>

<tr>

<td><font color="#004000"><em><strong>Emigration

Details</strong></em></font></td>

<td>&nbsp;</td>

</tr>

<tr>

<td><font color="#800000"><strong>Date of

Departure : </strong></font></td>

<td><input type="text" size="30"

name="Emigration_Date" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Name of

Ship : </strong></font></td>

<td><input type="text" size="30"

name="Emigration_Ship" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Port of

Departure: </strong></font></td>

<td><input type="text" size="30"

name="Emigration_Port_Dep" class="sm"></td>

</tr>

<tr>

<td><font color="#800000"><strong>Port of

Arrival : </strong></font></td>

<td><input type="text" size="30"

name="Emigration_Port_Arr" class="sm"></td>

</tr>

<tr>

<td>&nbsp;</td>

<td>&nbsp;</td>

</tr>

<tr>

<td><font color="#800000"><strong>Additional

Information :</strong></font></td>

<td><p align="left"><textarea

name="More_Info" rows="6" cols="55"

class="smtxt"></textarea></p>

</td>

</tr>

<tr>

<td><font color="#800000"><strong>How did you

find us ? : *</strong></font></td>

<td><p align="left"><textarea

name="HowFindUA" rows="3" cols="55"

class="smtxt"></textarea></p>

</td>

</tr>

<tr>

<td>&nbsp;</td>

<td><div align="left"><table border="0"

cellpadding="4" cellspacing="3">

<tr>

<td align="center"><input

type="submit" name="B1"

value="Submit Research Details"

class="smbtn"></td>

<td align="center"><input

type="submit" name="B2"

value="Reset the Form Details"

class="smbtn"></td>

</tr>

</table>

</div></td>

</tr>

</table>

</center></div>

</form>

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<option value="DEM">DEM Germany Deutsche Marks</option>

<option value="FRF">FRF France Francs</option>

<option value="JPY">JPY Japan Yen</option>

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<option value="CHF">CHF Switzerland Francs</option>

<option value="DZD">DZD Algeria Dinars</option>

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<option value="AUD">AUD Australia Dollars</option>

<option value="BSD">BSD Bahamas Dollars</option>

<option value="BBD">BBD Barbados Dollars</option>

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<option value="CAD">CAD Canada Dollars</option>

<option value="CLP">CLP Chile Pesos</option>

<option value="CNY">CNY China Yuan Renminbi</option>

<option value="CYP">CYP Cyprus Pounds</option>

<option value="CZK">CZK Czech Republic Koruny</option>

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<option value="EUR">EUR Euro</option>

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<option value="XAU">XAU Gold Ounces</option>

<option value="HKD">HKD Hong Kong Dollars</option>

<option value="NLG">NLG Holland (Netherlands) Guilders</option>

<option value="HUF">HUF Hungary Forints</option>

<option value="ISK">ISK Iceland Kronur</option>

<option value="INR">INR India Rupees</option>

<option value="IDR">IDR Indonesia Rupiahs</option>

<option value="ILS">ILS Israel New Shekels</option>

<option value="JMD">JMD Jamaica Dollars</option>

<option value="JPY">JPY Japan Yen</option>

<option value="JOD">JOD Jordan Dinars</option>

<option value="KRW">KRW Korea (South) Won</option>

<option value="LBP">LBP Lebanon Pounds</option>

<option value="LUF">LUF Luxembourg Francs</option>

<option value="MYR">MYR Malaysia Ringgits</option>

<option value="MXN">MXN Mexico Pesos</option>

<option value="NZD">NZD New Zealand Dollars</option>

<option value="NOK">NOK Norway Kroner</option>

<option value="PKR">PKR Pakistan Rupees</option>

<option value="XPD">XPD Palladium Ounces</option>

<option value="PHP">PHP Philippines Pesos</option>

<option value="XPT">XPT Platinum Ounces</option>

<option value="PLN">PLN Poland Zlotych</option>

<option value="ROL">ROL Romania Lei</option>

<option value="RUR">RUR Russia Rubles</option>

<option value="SAR">SAR Saudi Arabia Riyals</option>

<option value="XAG">XAG Silver Ounces</option>

<option value="SGD">SGD Singapore Dollars</option>

<option value="SKK">SKK Slovakia Koruny</option>

<option value="ZAR">ZAR South Africa Rand</option>

<option value="KRW">KRW South Korea Won</option>

<option value="XDR">XDR Special Drawing Rights (IMF)</option>

<option value="SDD">SDD Sudan Dinars</option>

<option value="SEK">SEK Sweden Kronor</option>

<option value="CHF">CHF Switzerland Francs</option>

<option value="TWD">TWD Taiwan New Dollars</option>

<option value="THB">THB Thailand Baht</option>

<option value="TTD">TTD Trinidad and Tobago Dollars</option>

<option value="TRL">TRL Turkey Liras</option>

<option value="GBP">GBP United Kingdom Pounds</option>

<option value="USD">USD United States Dollars</option>

<option value="VEB">VEB Venezuela Bolivares</option>

<option value="ZMK">ZMK Zambia Kwacha</option>

<option value="EUR">EUR Euro</option>

<option value="XCD">XCD Eastern Caribbean Dollars</option>

</select><br>

<b>scroll down to see more

currencies</b> </font></td>

<td align="center"

valign="top"><font size="2"

face="Arial,Helvetica"><select

name="To" size="8"

class="smopt">

<option selected

value="USD">USD United States Dollars</option>

<option value="CAD">CAD Canada Dollars</option>

<option value="EUR">EUR Euro</option>

<option value="GBP">GBP United Kingdom Pounds</option>

<option value="JPY">JPY Japan Yen</option>

<option value="CHF">CHF Switzerland Francs</option>

<option value="DZD">DZD Algeria Dinars</option>

<option value="ARS">ARS Argentina Pesos</option>

<option value="AUD">AUD Australia Dollars</option>

<option value="BSD">BSD Bahamas Dollars</option>

<option value="BBD">BBD Barbados Dollars</option>

<option value="BMD">BMD Bermuda Dollars</option>

<option value="BRL">BRL Brazil Real</option>

<option value="BGL">BGL Bulgaria Leva</option>

<option value="CAD">CAD Canada Dollars</option>

<option value="CLP">CLP Chile Pesos</option>

<option value="CNY">CNY China Yuan Renminbi</option>

<option value="CYP">CYP Cyprus Pounds</option>

<option value="CZK">CZK Czech Republic Koruny</option>

<option value="XCD">XCD Eastern Caribbean Dollars</option>

<option value="EGP">EGP Egypt Pounds</option>

<option value="EUR">EUR Euro</option>

<option value="FJD">FJD Fiji Dollars</option>

<option value="FIM">FIM Finland Markkaa</option>

<option value="DEM">DEM Germany Deutsche Marks</option>

<option value="XAU">XAU Gold Ounces</option>

<option value="GRD">GRD Greece Drachmae</option>

<option value="HKD">HKD Hong Kong Dollars</option>

<option value="HUF">HUF Hungary Forints</option>

<option value="ISK">ISK Iceland Kronur</option>

<option value="INR">INR India Rupees</option>

<option value="IDR">IDR Indonesia Rupiahs</option>

<option value="ILS">ILS Israel New Shekels</option>

<option value="JMD">JMD Jamaica Dollars</option>

<option value="JPY">JPY Japan Yen</option>

<option value="JOD">JOD Jordan Dinars</option>

<option value="KRW">KRW Korea (South) Won</option>

<option value="LBP">LBP Lebanon Pounds</option>

<option value="LUF">LUF Luxembourg Francs</option>

<option value="MYR">MYR Malaysia Ringgits</option>

<option value="MXN">MXN Mexico Pesos</option>

<option value="NZD">NZD New Zealand Dollars</option>

<option value="NOK">NOK Norway Kroner</option>

<option value="PKR">PKR Pakistan Rupees</option>

<option value="XPD">XPD Palladium Ounces</option>

<option value="PHP">PHP Philippines Pesos</option>

<option value="XPT">XPT Platinum Ounces</option>

<option value="PLN">PLN Poland Zlotych</option>

<option value="ROL">ROL Romania Lei</option>

<option value="RUR">RUR Russia Rubles</option>

<option value="SAR">SAR Saudi Arabia Riyals</option>

<option value="SGD">SGD Singapore Dollars</option>

<option value="SKK">SKK Slovakia Koruny</option>

<option value="ZAR">ZAR South Africa Rand</option>

<option value="KRW">KRW South Korea Won</option>

<option value="SDD">SDD Sudan Dinars</option>

<option value="TWD">TWD Taiwan New Dollars</option>

<option value="THB">THB Thailand Baht</option>

<option value="TTD">TTD Trinidad and Tobago Dollars</option>

<option value="TRL">TRL Turkey Liras</option>

<option value="GBP">GBP United Kingdom Pounds</option>

<option value="USD">USD United States Dollars</option>

<option value="VEB">VEB Venezuela Bolivares</option>

<option value="ZMK">ZMK Zambia Kwacha</option>

<option value="EUR">EUR Euro</option>

</select><br>

<b>scroll down to see more

currencies</b> </font></td>

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