REQUESTING GENEALOGICAL INFORMATION FROM THE ARQUIVO HISTORICO NACIONAL / NATIONAL HISTORICAL ARCHIVES

Republic of Cape Verde

1. Provide, as completely as possible, these facts about the person whose records you are requesting:

Full Name _____________________________________________________________________

Date of Birth: Year ________ Month_________________ Day ______

Parish or County of Birth _________________________________________________________

Name of Father _________________________________________________________________

Name of Mother ________________________________________________________________

Paternal Grandfather ____________________________________________________________

Paternal Grandmother ___________________________________________________________

Maternal Grandfather ____________________________________________________________

Maternal Grandmother ___________________________________________________________

Marriage: Year ________ Month_________________ Day ______ Spouse _________________________________________________________________

Place ___________________________________________________________________

Death: Year ________ Month_________________ Day ______

Place of burial ____________________________________________________________

2. Give these facts about yourself:

Name ________________________________________________________________________

Address ______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Reason for request ______________________________________________________________

______________________________________________________________

Relationship to person whose information you are requesting ____________________________

______________________________________________________________

3. Enclose with this form:

___ A self-addressed (but not stamped) envelope

___ A certified check for ten dollars (US $10.00) made payable to Arquivo Historico Nacional

4. Mail your request to:

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Praia aos _____ de __________________ de ______

Certidoes No. __________ _______ Responsavel da Sala de Leitura