questionaire form 1916
DESCRIPTION
Questionaire Form 1916TRANSCRIPT
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1916
QUESTIONNAIRE
The information supplied in this questionnaire will be used solely for the purpose of keeping relatives
informed of upcoming commemorative events in the County of Galway during 2015 and 2016. No
personal details will be disclosed to any third parties.
However, if you would like your details added to our other mailing lists to keep you up to date with
other events and news relating to Galway County Council cultural and heritage events, please the box.
Have YOU a relative from the County of Galway who
participated in the Easter 1916 Rising in the County of Galway?
If so, we would love to find out more about them and you!
Your name ......................................................................................................
Your address ......................................................................................................
......................................................................................................
Tel. No. ............ Mobile No. ...................................
Your Email address ......................................................................................................
Name of 1916 participant ................................................ .....................
Organisation affiliated to (and rank) ......................................................
Where did they participant during Easter 1916 .........................................................................................................
Former address of participant ........................................................ ................
Bureau of Military History Witness Statement No., if known ............................................. ..................
Your relationship to the participant .......................................................................
(e.g. father, grandfather, uncle, aunt, etc)
Enquiries/completed forms to: Caitriona Morgan, Co-ordinator, Decade of Commemorations
Committee, Galway County Council, ras na Chontae, Prospect Hill, Galway Tel: 091 509 511
Email: [email protected]
Also do you have any 1916-related memorabilia belonging to the participant, such as
photographs, letters or medals, that you might be willing to loan or deposit permanently
to Galway County Council Archives? If so please contact [email protected]