Generation Ancestor Chart Form
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1Five-Generation Ancestor Chart
#1 Applicant
See
DOB= Date of Birth
IBD= Indian blood degree
Chart #
NI = Non- Indian
▫
Write in Tribe/Band
# 16 thru # 31 represents Great -Great
16
Grandparents
8
▫
17
b________________
IBD _____________
4
NI
Gr. Grandfather
▫
18
b_________________
9
IBD___________________
▫
19
b_______________
2
Grandfather NI
IBD_____________
b_________________
Gr.Grandmother
NI
▫
20
mib___+ ob_____=tb______ni
IBD___________________
10
▫
21
Father NI
b________________
5
IBD _____________
NI
Gr. Grandfather
▫
22
b_______________
11
1__________________________________________
IBD_____________
▫
23
Age _______ DOB_________________
b_______________
Grandmother NI
IBD_____________
NI
Maiden name or AKA_________________________
Gr.Grandmother
▫
IBD __________Other Indian Blood_____________
24
12
▫
25
b________________
IBD _____________
6
NI
▫
Gr. Grandfather
26
b_________________
13
IBD___________________
▫
27
b_______________
3
Grandfather NI
IBD_____________
NI
▫
Gr.Grandmother
28
b__________________
14
▫
29
b________________
IBD ____________
7
IBD _____________
NI
NI
Gr. Grandfather
Mother
▫
30
b_______________
15
IBD_____________
▫
31
b_______________
Grandmother NI
IBD_____________
Compiled by:
NI
Gr.Grandmother
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