All fields indicated with * are compulsory and must be filled in.
Given Name(s)*
Surname*
Gender* —Please choose an option—FemaleMaleOther
Other*
Date of Birth*
Home Address*
Suburb*
Postcode*
State*
Country*
Mobile Number*
Phone Number
Email*
South Sea IslanderAboriginalTorres Strait Islander
What is your heritage?*
What islands do you identify with?*
YesNo
What is your organisation membership?
Relation to Ancestor* —Please choose an option—MotherFatherAunt (mother's side)Uncle (mother's side)Aunt (father's side)Uncle (father's side)Grandmother (mother's side)GrandFather (mother's side)Grandmother (father's side)GrandFather (father's side)Great-Grandmother (mother's side)Great-GrandFather (mother's side)Great-Grandmother (father's side)Great-GrandFather (father's side)Great-Great-Grandmother (mother's side)Great-Great-GrandFather (mother's side)Great-Great-Grandmother (father's side)Great-Great-GrandFather (father's side)Great-Great-Great-Grandmother (mother's side)Great-Great-Great-GrandFather (mother's side)Great-Great-Great-Grandmother (father's side)Great-Great-Great-GrandFather (father's side)Other
Given Name(s) of Ancestor*
Surname of Ancestor*
Gender of Ancestor* —Please choose an option—FemaleMaleOther
Date of Death*
Where was your ancestor born?
What island was your ancestor born on?
What ship was your ancestor brought on?
Date of departure
Date of arrival
What is your family oral history about your heritage?
What other avenues have you looked into while searching for your family?
Is there anything else that you would like us to know?
