The form enclosed will help you arrange the information for writing a Memorial.

With all the information ready, it is easier to convert dull facts into insight, and combine it into a moving and interesting biography.

Fill up this form with all the information you know.

Note, that not all of it has to appear on the memorial page.

Decide what information you don’t need.
 

Last Name:
First Name:
Middle Name:
Second middle Name:
Nicknames:
Maiden Name:
Male/Female:

Father's Name:
Mother's Name:
Brothers Names:
Sisters Names:
Children’s Names:
Grandchildren’s Names:
Great grandchildren’s Names:
Other close family members:
Friends:
 

Date of Birth:
Day/month/year
Day of the week:
If unknown, can be found in
http://genealogy.org/~scottlee/calconvert.cgi
Time of Birth:
Jewish date of birth:
Day/month in words/year
If Jewish date is unknown, please link to calendar to find:
http://genealogy.org/~scottlee/calconvert.cgi
Place of Birth:

Was the person to be commemorated a
Victim of the Holocaust?

Date of Death:
Day/month/year
Day of the week:
If unknown, can be found in
http://genealogy.org/~scottlee/calconvert.cgi
Time of death:
Jewish date of death:
Day/month in words/year
If Jewish date is unknown, please link to calendar to find:
http://genealogy.org/~scottlee/calconvert.cgi
Place of death:
Age upon death:
 

Burial information

Name of cemetery:
Address:
City:
State:
Country:
Cemetery section:
Plot:
Row:
Number:
 

Last address known

City:
State:
Country:
Citizen of:
Other nationalities:

Family E-mail for contact:

Other links to contact:

Relevant web sites:

Education:

Occupation/s:

Publications:

Prizes:

Books, articles or Documentaries, devoted to the person:

Army service:

Ranks & Decorations:

Community service:

Philanthropic activities:

Hobbies:

Documents:

Photographs:

Images & Graphics:

Artworks:

Every other relevant information: