family information (family history)
Father Name - Surname ...... Mr. Chakri. Highland Homes ........................................ Age ... 50 years old ... mother ..... Agriculture ...............
. Name - Surname .... Mrs. Van. Highland Homes ......................................... Age ... 50 ..... Occupation .....Agriculture ...............
are brothers. (Including the applicant) ..... 1 ...... 1 ...... Man ... woman .... - ...... the living child. 2 ......................... .....
Mr. Powers. Highland Homes ......... Age 26 years ............ Employees ............................................... ..................