Group 5 Research

Bolling Family Association

DNA Participant Information Form

 

This form must be completed by the authorized, designated Researcher to submit information for each Bolling Group 5 DNA participant (including your own DNA profile). We desire to keep all personal information about a DNA participant completely anonymous and confidential on our website. Each DNA participant is identified only by a kit or report number. We realize that most researchers are submitting their own profile.  However, that fact does not need to be disclosed.

Please submit one form for each Bolling Group 5 DNA Participant that you represent.

If you have not already registered as a Bolling Group 5 Researcher, please complete the Researcher Information Form first.



 Your (Researcher's) Name:         E-Mail Address: 


Participant's DNA Profile


Testing Agency:      Date of DNA Test (if known): 

Is the DNA Profile of this partcipant already shown on our DNA Participant Index? Yes No
If "Yes" please provide the Kit Number below and skip the rest of this section.

Is the DNA Profile of this partcipant shown on the Family Tree DNA Site? Yes No
If "Yes" please provide the Kit Number below and skip the rest of this section.

Is the DNA Profile of this partcipant shown on another website? Yes No
If "Yes" please provide the Web Address (URL) the profile appears on, provide the Kit Number below, and skip the rest of this section.
Web Address/URL 

You may also submit DNA Profiles by e-mail to 

DNA Participant's Kit Number or Report Number 

DNA Y-chromosome Segment Number / Short Tandem Repeats (Genetic Markers)

393:    390:    19 or 394:    391:    385a: 

385b:    426:    388:    439:    389-1: 

392:  389-2:    458:    459a:    459b: 

455:    454:    447:    437:   448: 

449:    464a:    464b:    464c:    464d: 

Are there additional markers tested? Yes No

Haplogroup: 


DNA Participant's Bolling (any spelling) Lineage


Is the DNA Participant also the Researcher (you) or a sibling of the Researcher? Yes No If "Yes" you do not need to complete the rest of this section.

Please provide the Bolling Lineage of the DNA Participant, beginning with the Earliest Known Documented Bolling (any spelling) Ancestor, and ending with the DNA Participant.
Date, Location, and Spouse information is not required, but is very helpful and appreciated.

If the DNA Participant shares some of the same ancestors as you (the Researcher), you only need to provide the ancestors common only to the DNA Participant. Ancestors that you share with the DNA Participant were already submitted with your Researcher Information Form. In this case, begin with the latest ancestor that the Researcher (you) and the DNA Participant share, and continue down to the DNA Participant.

Unused Spaces May Be Left Blank.

Earliest Known Ancestor Name (or latest ancestor that you share with the DNA Participant): 
Born Circa:    Earliest Known Location (County and/or State): 
Died Circa:    Last Known Location:    Spouse: 


2nd Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


3nd Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


4th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:   Last Known Location:    Spouse: 


5th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


6th Ancestor:   Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


7th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


8th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


9th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


10th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


11th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse:


12th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


13th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


14th Ancestor:    Born Circa:    Earliest Known Location: 
Died Circa:    Last Known Location:    Spouse: 


DNA Participant Kit or Report Number (Same as above, entered 2nd time for verification): 

(Note: Dates and Locations of Living Individuals are not published on this web site, unless you request us to do so)

Is the DNA Participant a Bolling Family Association Member? Yes No
(Membership is not required to participate in this project)
 

Other surnames related to the DNA Participant, but not related to the Researcher (you):
(Optional) (Researcher's related surnames were submitted with the Researcher Information Form)


 

Please let us know of any other information or comments:


 

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