Case 6428

Application for the Admission of a child

1. Give the child's christian name and surname

J

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

11 yrs. July 12, 1887

3. Legitimate?

yes

4. If baptized, state place and date of baptism

St. James Birkenhead Sept. 28th, 1887

5. Parents living?

father

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

Mother died of [?] : March 95

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

8. Give the christian names and surnames of his parents (in full)

T, 57

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.

Late in the employ of Clay [?] Wages 25/

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.

Never filled any occupation other than home

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

no

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

C, 4 [Bush Cottages], 28, Dom: Servant, 7/6
E, Mrs Francis - Woking, 22, Dom: Servant, 5/6
C, Mrs. [?] - Woking, 17, Dom: Servant, 1/6