PERSONAL LIFE HISTORY BOOKLET of…
PERSONAL LIFE HISTORY BOOKLET of...
Place a photograph of the person here and
write his/her name on the line below
__________________________________
This booklet details the life of
Preferred Name: _________________________________________
Original language Language now spoken
Prepared by With
Birth...
I was born on (date) _______ (month) _______________ (year) ________ I was born at (eg home, hospital) ________________________________ In (eg city, Town, country) ____________________________________
Special circumstances and photographs
E.g. who was at the birth? Were you premature or born late?
Nicknames and preferred names...
Do you know why you were given the name you have?
What nicknames have you had? How did you get them? Which one/s did you like?
Parents...
I'm the ________________ child of _____________________ and ______________________________________________
Special memories and photographs
You may like to include details such as how your parents met, photos or stories relating to their wedding, or a favourite photo of you with your parents, what
your relationship with your parents was like...
................
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