GBHS Surname Database Submission Form

GBHS Surname Database Submission Form

Fill out the form below and click the Submit button at the bottom of the page.
A printable version of the form is also available.

The purpose of this database is to provide information about the ethnic German population
of the Austrian Crown Province of Bohemia that immigrated to the United States.

Submitter Information
Name
Street
City, State, Zipcode
Email Address

Family Information
Family Name
First Name
Date of Birth
Village of Origin
County of Origin
Year of Immigration
Town(ship) of Destination
County of Destination
State of Destination
Country of Destination
Spouse Family Name
Spouse First Name
Notes