Case 1138

Application for the Admission of a child

1. Give the child's christian name and surname

P

2. State her exact age, and give the date and place of her birth

May 1872, Kennington Green

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Has been baptised, does not know where

5. Parents living?

only father

6. If, however, either or both are dead, state of what disease they died and give the date of their death

Mother died April 1884 or 6
Father living

7. If living, give their exact places of abode, and state how long they have resided there

Father St. Ann's Cottages, Westfield Barnes

8. Give the christian names and surnames of her parents (in full) and state their ages.

9. What was or is the nature of the father's occupation and the amount of his weekly earnings? Give the name and address of his present or last employer.

Father is a Plasterer or does any odd jobs he can get - sometimes he carves chairs

10. What was or is the nature of the mother's occupation and the amount of her weekly earnings? Give the name and address of her present or last employer.

11. Have the parents or guardians ever received parish relief? If so, to what extent?

12. Give the names, addresses, ages, occupations and earnings (if any) of all her brothers and sisters

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS