KNOCK MARRIAGE BUREAU.  QUESTIONNAIRE -- FORM B.
Particulars of yourself which you wish to have sent to anyone we think may be interested in an introduction to you.

Nationality:
 

Date of Birth:
 

Occupation:


Education:


Appearance:


Height:


Interests:


Hobbies:


Whether Widowed:


If so, age of children, if any:


Single with child/children:


If so, age of child/children.


Your Town or Nearest Town:


County:


PRIVATE & CONFIDENTIAL
MARRIAGE INTRODUCTIONS BUREAU
Authorised by the Archbishop and Bishops of Connacht
Under the Patronage of Our Lady of Knock
KNOCK, CO. MAYO. IRELAND.