Veterans Information Sheets

Irish Veterans Memorial Project A charitable non-profit organisation registered in Ireland, CHY14643 Administration Office: Capel Chambers, 119 Capel Street, Dublin 1, Republic of Ireland. Preliminary Information Sheet This form is your opportunity to send initial information on your service, the service of a relative or fellow Veteran.  We can thus begin recording information for the archive, while also concentrating on the physical Memorial.  We will keep in contact, updating information as the Project evolves.  This page may be copied as required.  Return completed forms to: Irish Veterans Memorial, Capel Chambers, 119 Capel Street, Dublin 1, Republic of Ireland Are you / do you know someone who is an Irish Veteran, or Veteran of Irish descent? Do you have an ancestor who served at any time from 1900 to the present? Behind the lines, or in the Trenches of World War One? Perhaps you, or a relative or friend, served in World War 2? Perhaps you, or they, served with the Irish, United States, Canadian, Australian, New Zealand, British or other Military? Perhaps you or they served in Korea? Vietnam? The Gulf? Somalia? Lebanon? The Cold War?  Or are presently serving?   Name of Veteran (please print) __________________________ __________________________ Place and date of birth: __________________________ __________________________ __________________________ If born outside Ireland, parents/g-parents details: 1.________________________ 2.________________________ 3.________________________ 4.________________________ Contact (if Veteran deceased): ________________________ Address: ________________________ ________________________ ________________________ Zip Code_________________ Tel: ________________________ E-mail: ________________________ Forces served with: _________________________ Branch of Service: _________________________	.................	Army  Air Force         Navy   Marines            Coast Guard Medical/Nursing: ______________________ ______________________ ______________________ Other: ______________________ ______________________ ______________________ ______________________ Div/Reg/Batt/Co/Trp/Btry ______________________ ______________________ ______________________ Did you enlist? Yes    No Were you conscripted? Yes    No Where/when did you enter service? _______________________ _______________________ At what age? Age & Rank at separation: ______________________ ______________________   Campaigns/Ops (if known): ______________________ ______________________ ______________________ Awards/Decorations: ______________________ ______________________ ______________________ Did you serve with, or do you know of, other Irish Veterans?                     Yes    No If YES, please give details on separate sheet/s Are you aware of any Irish killed in action (KIA), were or remain missing in action (MIA), or were/are prisoners of war (POW)?                                Yes    No If YES, please give details on separate sheet/s   IMPORTANT Attach separate sheets as needed, also copies of awards, citations, DD214 or equivalent, etc. When sending, please ensure any photocopies are as clear and legible as possible to help facilitate an accurate archive.  Please indicate specifically any items you wish returned. This form may be photocopied as necessary.