Online Survey

1.	Please enter the following details:

First Name
Last Name
Date of Birth (dd/mm/yyyy)
Country of Birth
Email Address
Full Name of Closest Lebanese Parent
Place of Origin of the Closest Lebanese Parent
Full Name of Foreign Nationality Father/Mother

Disclaimer

All information provided in the present form, shall be treated as confidential and all reasonable measures shall be taken to ensure that the information is not used or disclosed other than for the purpose it was provided for. Reasonable care and means shall be taken to protect such information and prevent its unauthorized use or disclosure.

Thank you for participating in the “Back to our Cedar Roots” initiative.