Propose a Name
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What is your First Name? *
Enter your name
What is your Surname? *
Enter your surname
What is your Address? *
Enter your address including postcode
What is your Email address? *
Please enter your full email address
What is your Phone Number? *
Enter your phone number
Relationship to person missing from War Memorial *
Please enter your relationship to the person you are reporting (could include a group, researcher etc)
Have you checked our list of names? *
Please ensure you have checked we don't already have the person you are proposing.
Required
Service Person - Surname *
Enter the surname
Service Person - Forename(s) *
Enter the first name
Service Person - Known as
Enter the name they were known as
Service Person - Date of Birth
Service Person  - Where Born?
Where was the Service Person born?
Service Person - Parents Names
Service Person - Address within the Ballymena District
Service Person - Spouse's Name
Service Person - Service Number if known
Service Person - Military Career - Regiment / Service
Service Person - Military Career - Battalion / Unit / Ship
Service Person - Date of Death
Service Person - Evidence / Comments
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