Showing 217 items matching "registration form"
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Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Walter Henry... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Walter Henry Classon Date of Birth: 8th March, 1872 Place of birth: Newbridge Loddon Father: John August Classon Mother: Elizabeth (Maiden name: section damaged 'Was____') -
Tarnagulla History Archive
Registration of Birth form, /, 1870s
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: William... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: William Henry (or Hein or Heinz) Zimmerman Date of Birth: section missing Place of birth: section missing Father: Henry (or Hein or Heinz) Zimmerman Mother: Maria Zimmerman (nee Ranger) -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... registration forms, were apparently found in the ceiling cavity...Registration of Birth form for: Child's name: Edward... other birth and death registration forms, were apparently found ...Sven Tragardh advertised his Llanelly store and business for sale in the Tarnagulla Courier on 12. 7.1873. A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Edward Adolphus Tragardh Date of Birth: 20th April 1872 Place of birth: Llanelly Father: Sven Tragardh Mother: Margaret -
Tarnagulla History Archive
Registration of Birth form, 1871
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: David... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: David Augustus Birrell Date of Birth: 29th August, 1871 Place of birth: Teachers Residence, Jones Creek (Waanyarra) Father: David Watson Birrell Mother: Elizabeth Birrell (nee Urie) -
Tarnagulla History Archive
Registration of Birth form, circa 1871-1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Agnes Maria... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Agnes Maria Balsillie Date of Birth: 16th October (year missing, probably 1871 or 1872) Place of birth: Newbridge Father: ANdrew Purves Balsillie Mother: Maria Balsillie (nee Laing) -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: William... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: William Thomas Brainard Field Date of Birth: 19th January, 1872 Place of birth: Llanarie (misspelling of Laanecoorie) Father: William Richard Field Mother: Lucy Lucomme (?) Field (nee Stone) -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Henry Douthat... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Henry Douthat Rank or Occupation: Age: 5 months Cause of Death: Bronchitis exhaustion Date of Death: 27th November, 1871 Place of Death: Jones Creek Place of burial: Jones Creek -
Queen Victoria Women's Centre
Registration Form, A Lasting Gift for Mother's Day, c.2009
... Registration Form... Registration Form ...A4 flyer with form on the back. Colour image of two women on from size of the page. Black ink and orange accents. Created for the mother's day appeal for the shilling wall project. A project to honour Victorian women. pamphlet, charitable organisation, fundraising event -
Young Christian Workers (YCW Australia) Archive and Research Centre
Bush Fire Working Party Registration Form (Blank), 1962
... Bush Fire Working Party Registration Form (Blank)... printed on pink paper Bush Fire Working Party Registration Form ...In 1962, bushfires in the Dandenong Ranges (Melbourne, Victoria) took the lives of 32 people and saw the destruction of many homes. St Andrews was one of the places affected, and the Melbourne YCW (Boys) contributed to the re-building effort by providing skilled trades on a voluntary basis. In the days before online communication, this proforma was distributed to YCW members either by post or through the channel of the branch meeting to garner volunteers to the bushfire recovery effort. The document reveals the coordinating role of the diocesan team based at headquarters, and how the YCW (Boys) in Melbourne understood it's role as a service organisation. This document is part of a broader set of documents exploring this effort, including a subsequent report evaluating the effort and letters of thanks. Document printed on pink paperycw boys, ycw melbourne, bushfire recovery, st andrews bushfires, volunteering -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Herbert... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Herbert Wilhelm Cherbury Date of Birth: 15th October 1872 Place of birth: Baptist Parsonage, Sabbath Reef Hill, Tarnagulla Father: Charles Mortimer Cherbury Mother: Christina Elizabeth (nee Almstedt) -
Tarnagulla History Archive
Registration of Birth form, 1871
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Elizabeth... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Elizabeth Blanch Rumsey Date of Birth: 16th September, 1871 Place of birth: Prince of Wales Hotel, Llanelly Father: Robert Rumsey Mother: Mary Rumsey (widow, previous married surname: Grey) -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Joseph... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Joseph Venables Rank or Occupation: Miner Age: 43 years Cause of Death: Falling down a shaft Date of Death: 11th November, 1871 Place of Death: Tarnagulla Place of burial: Tarnagulla Cemetery -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Ada Ellen... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Ada Ellen McGregor Date of Birth: 21st January, 1872 Place of birth: Tarnagulla Father: William Alexander McGregor Mother: Catherine Mary McGregor (widow, previous surname Stubbs, maiden name Kinnan or Kinvan) -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Robert Percy... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Robert Percy Peters Date of Birth: 7th January, 1872 Place of birth: Commercial Road, Tarnagulla Father: Robert Percy Peters (section damaged but known from another transcription) Mother: Mary Jane Peters (nee Falder) -
Tarnagulla History Archive
Registration of Birth form, 1870
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: Harry... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: Harry Charles Smith Date of Birth: section missing but known from older transcription: 1871 Place of birth: Poverty Street, Tarnagulla Father: William Smith Mother: section missing but known from older transcription: Margaret Ann (nee Hodgson) -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Eliza... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Eliza Henderson Rank or Occupation: Age: 45 years Cause of Death: not stated Duration of illness: 8 days Date of Death: 1st November 1871 Place of Death: Tarnagulla Place of burial: Tarnagulla Father's name: George Summers (Mason) Mother's name: Ruth Summers -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: William... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: William Sayers Rank or Occupation: Cooper Age: 48 years Cause of Death: not stated Duration of illness: not stated Date of Death: 9th June 1872 Place of Death: Newbridge Place of burial: Newbridge Father's name: James Sayers (Cooper) Mother's name: Aness Sayers -
Tarnagulla History Archive
Registration of Birth form, 1870
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: section... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: section missing but known from older transcription: John Jameson Date of Birth: section missing but known from older transcription: 1870 Place of birth: section missing, unknown Father: John Jameson Mother: section missing but known from older transcription: Jennet Jameson (nee Palson) -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Sarah WIlson... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Sarah WIlson Rank or Occupation: - Age: 18 hours Cause of Death: Debility from birth Date of Death: 8th June, 1872 Place of Death: Tarnagulla Place of burial: section missing Father's name: Thomas Mundle Wilson Mother's name: section missing, known to be Martha Wilson -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Alex... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Alex Williiamson Rank or Occupation: Farmer Age: 72 years Cause of Death: not stated Date of Death: 16th April 1872 Place of Death: Newbridge Place of burial: Newbridge Date of burial: 18th April 1872 Father's name: Donald Williamson (Farmer) Mother's name: Margaret Williamson -
Tarnagulla History Archive
Registration of Birth form, circa 1870-1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Registration of Birth form for: Child's name: section... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Birth form for: Child's name: section missing, but known from older transcription - Eliza Grant Date of Birth: section missing, but known from older transcription - 20th August, 1871 Place of birth: section missing, but known from older transcription - Newbridge Father: Arthur Branthway Grant Mother: Margaret Ann (nee Bryant) -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Joseph Turner... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Joseph Turner Rank or Occupation: Engine Driver Age: 25 years Cause of Death: Accidental Shock to his system from injuries by sawing machinery Date of Death: 25th November, 1871 Place of Death: Murphy's Creek Place of burial: Tarnagulla Cemetery Very poor condition, extremely pest damaged. -
Tarnagulla History Archive
Registration of Death form, 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Sophia Pallot... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Sophia Pallot (nee Galean) Rank or Occupation: Age: 40 years Cause of Death: not stated Duration of illness: 4 hours Date of Death: 23rd December 1871 Place of Death: Back (?) Nugget Flat Place of burial: Tarnagulla Father's name: Nicholas Galean (Farmer) Mother's name: Rachel Galean -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Marion... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Marion Middleton Rank or Occupation: Age: 47 years Cause of Death: Hart (as spelled), Cardiac syncope Duration of illness: Suddenly Date of Death: 22nd April 1872 Place of Death: Newbridge Place of burial: Newbridge Father's name: Andrew Manuel (Brass founder) Mother's name: Janet Manuel -
Tarnagulla History Archive
Registration of Birth form, 1872
... Registration of Birth form... and death registration forms, were apparently found in the ceiling...Handwritten draft on blue paper for a Registration of Birth... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Handwritten draft on blue paper for a Registration of Birth form held elsewhere in THA collection, catalogued as THA-2019.0835 Partial summary of contents: Child's name: Ada Ruth Daws Date of Birth: 1st March, 1872 Place of birth: Llanelly Father: Charles Pearson Daws Mother: Jane Daws (nee Drothy) Very poor condition, extremely pest damaged. -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Charles Gray... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Charles Gray Age: 10 years Cause of Death: Excessive Heamarrhage and __? Duration of illness: 10 days Date of Death: 10th June 1872 Place of Death: Newbridge Place of burial: Newbridge Father's name: John Gray (Farmer) Mother's name: Abetha Gray (nee Steel) Deceased place of birth: Melbourne -
Tarnagulla History Archive
Registration of Death form, circa 1871
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Phoebe Julia... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Phoebe Julia Emmett Rank or Occupation: Age: 3 years, 26 weeks Cause of Death: Tonsilitis Date of Death: section missing Place of Death: Llanelly Place of burial: Tarnagulla Date of burial: 14th August Father's name: Edward Philip Hull Emmett (Teacher) Mother's name: Phyllis Amelia Emmett (nee Rodgers) -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Charles... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Charles Wesley Williams Age: 7 months Cause of Death: none stated Duration of illness: six weeks Date of Death: 15th June 1872 Place of Death: Tarnagulla Place of burial: Tarnagulla Cemetery Father's name: Henry Williams (miner) Mother's name: Margaret Williams (nee McCay) Deceased place of birth: Tarnagulla -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Elenor... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Elenor (?) Haughton Age: 53 years Cause of Death: Apoplexy Duration of illness: 4 hours Date of Death: 16th June 1872 Place of Death: Tarnagulla Place of burial: Tarnagulla Father's name: not known Mother's name: not known Spouse: not known Issue: three children listed Deceased place of birth: Hobart Town, Tasmania -
Tarnagulla History Archive
Registration of Death form, 1872
... Registration of Death form... and death registration forms, were apparently found in the ceiling...Registration of Death form Name of deceased: Mary Dike... this and many other birth and death registration forms, were apparently ...A large lot of papers, including this and many other birth and death registration forms, were apparently found in the ceiling cavity of the Sandy Creek/Tarnagulla Post and Telegraph Office in the later 20th Century, during building works. Donald Clark Collection. Registration of Death form Name of deceased: Mary Dike Rank or Occupation: Age: 42 years Cause of Death: not stated Duration of illness: one week Date of Death: 25th April 1872 Place of Death: Tarnagulla Place of burial: Tarnagulla Father's name: not known Mother's name: not known Spouse: not stated Issue: none Deceased place of birth: Ireland Lived in the Colony: 30 years