Emerald Ancestry Civil Request Form.

Print out this form, fill in the details and post it with the fee of UKú25 or US$40 per registry requested  Make cheques payable to 'Martin McGoldrick.' Post the form to.

Emerald Ancestry (Civil Dept.), 504 Ardowen, Craigavon, Co. Armagh, N.Ireland. BT65 5EQ.

Registry Certificate Requested (Birth, Marriage or Death): ________________________

Full Name (or names if marriage )  __________________________________________

______________________________________________________________________

Maiden name:  ___________________________________

Approx year of birth, marriage or death: _______________________ (needed)

If marriage or death then approx. age of ancestor a that time:  _______________________

Which county:   ______________(needed)          Which Town:   __________________ (needed)

Ancestor's religious denomination:  ________________________________________

Any other details that might help us locate ancestor:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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Your Details:

Email Address: ________________________________________

Please fill in your name and full address below:

:__________________________________________________________________________

:__________________________________________________________________________

:__________________________________________________________________________

:__________________________________________________________________________

Please allow 12 to 14 weeks to receive Civil Registry Certificate and other relevant information that was requested.

 Return to  Civil Records page or far further enquiries email us at    martin.mcgoldrick@virgin.net

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