Step 1 – Please Fill in the Application Form First Name (required): Surname (required): Email Address (required): Ancestor's Name (required): Ancestor's Place of Birth in Co. Galway (required): Ancestor's Father: Ancestor's Mother (including her pre-marriage surname): Ancestor's approx date of birth: Did your Ancestor marry in Galway:YesNo If Yes: (a) to whom?: (b) approximate year: (c) Names of children born in Co Galway: When did your ancestor emigrate?: Names of the brothers and sisters of your ancestor?: Did your ancestor's parents emigrate?: Further information: Attach file(s) (if necessary):
