REGISTRATION FORM FOR DISPLAY PROFILE

Please allow 10 days for your profile to appear in the Display Portal
Fields Marked RED will not be displayed in the Display Portal

Please note: if you are using a mouse with a scroll button, please be careful
to select the correct options

1) First Name	Surname
2) Your Email Address	Please Re-type
3) Your Telephone No	including local area code
4) Your Mobile Tel No
5) Your Postal Address
6) Your Date of Birth:	Date: Choose 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: Choose Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year: Choose 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994
7) Nature of Your Registration:	Select... A: Children Posting info for Birth Parents B: Posting info for a Blood Relative (child, parent, uncle, etc.) C: REPORTED Missing Persons, Posting info for those looking D: Posting information for a REPORTED Missing Person E: Lost Contacts (not family) hoping to reunite
8) Your Sex at Birth:	Select Female Male
9) Your Ethnic Origin:	Select White - European White - Other Black - Other Asian Black - Caribbean Black - African Chinese Other
9) Region Born (see map Click Here)	Not Known 1 : Scotland 2 : Ireland (NI & Eire) 3 : Isle of Man 4 : Northern England 5 : Wales 6 : English Midlands 7 : South West England 8 : London and the South 9 : South East England 10 : Channel Islands 11 : Other 12 : Not Known
10) Your relationship to the person you seek	Select... Birth Parent Adoptive Parent Foster Parent Guardian Sibling Birth Child Fostered Child Adopted Child Other Family Member Friend Other
11) Persons Region (see map Click Here)	Not Known 1 : Scotland 2 : Ireland (NI & Eire) 3 : Isle of Man 4 : Northern England 5 : Wales 6 : English Midlands 7 : South West England 8 : London and the South 9 : South East England 10 : Channel Islands 11 : Other 12 : Not Known A region associated strongly with this person
12) Do you have any distinguishing marks?	If so, please state
13) Does the person you seek have any distinguishing marks?	If so, please state
14) Please give us as much information, regarding the person you seek, as you can including any important dates, names, addresses etc...
15) This person was born on:	Date: Unknown 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: Unknown Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year: Unknown 1900s 1910s1920s1930s1940s1950s1960s 1970s 1980s1990s 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994
8) This persons Sex at Birth	Select Female Male
16) What is this persons Ethnic Origin?	Select White - European White - Other Black - Other Asian Black - Caribbean Black - African Chinese Other If you know
17) If you could give a personal message to this person(s) what would it be? Max 250 words
18) Provide a password for private communication:	Write this down and keep it safe.
Please note: 1) This registration is for people over 16yrs of age requiring information regarding people who are over 16 yrs of age. 2) No contact details will be given to any party without first seeking your permission.
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