… 1. Original name: Revolutionary name: 2. Place, day, month and year of birth: 3. Sex female or male? Ethnicity: 4. … name: Revolutionary Name: 2. Ethnicity: 3. Place, day, month and year of birth: 4. Occupation and original class … father/mother 2. Ethnicity: father mother 3. Place, day, month, year of birth, age, living or deceased father: mother: …