Name

    First Name     Last Name

    Maiden Name (if applicable)      

    Email (if applicable)

    Address

    Street

    Town    Postcode

    Occupation

    Are you Employed Self Employed Unemployed Retired Student Other         Please specify

    Are you still in contact with relatives in Italy ? Yes    No

   Where are your Italian Origins?

    Region (eg. Toscana)

    Provincia nearest city  (eg. Lucca)

    Comune local council (eg. Barga)

    Frazione village parish (eg. Albiano)

   Please give details of your closest living relative in Italy.

    First Name   Last Name

    Relation to you

    Please give details of your earliest ancestor to have emigrated to Scotland.

    First Name   Last Name

    Relation to you

    Where did he/she settle in Scotland?

    What was their occupation in Scotland initially?

    What was their principal occupation during the majority of their UK residency?         

    What was their occupation in Italy?

    Year of emigration from Italy?

    Age at time of emigration?

    Reasons for emigrating

    Where you born in Italy ? Yes   No

    If Yes, please state where

Thank you very much for your time and contribution.