Case 9156

Application for the Admission of a child

1. Give the child's christian name and surname

E

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

Ten years old, April 5th, 1892, Town Row Wash-Derby

3. Legitimate?

yes

4. If baptized, state place and date of baptism

Not baptized (see endorsement)

5. Parents living?

Mother living

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

Father died 1896, Consumption

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

Mother lives West-Derby Village eleven months

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

T, 47-
H, 46 when he died

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.

House painter, Mr. Wainwright, Tuebrook & West Derby, now in London working for waring

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.

Housekeeping for grooms & [?] work 7/- per week & Stepson lives in the house & pays 12/. per [?], Mrs. H & J.R.H. Esq. Blackinows West Derby

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 the brothers and sisters

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

E, Upper Parliament, 22, house maid [?], 8
S, Blackwood West Derby, 16, house maid, 4.3
J, West Derby Village, 13, now at school
S, ", 10, "
H, ", 6, "
E, Ridley Road, 26, married 3 children

13. At what address and with whom is the child now living?

West Derby Village with Mrs. Steven

14. Give in full the names, addresses, ages, occupations and earnings of each living relative the child is known to possess either on the father's or mother's side such as grandparents, uncles, aunts, &c.

DEGREE OF RELATIONSHIP, NAMES, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

Father's sister, Mrs. [?], unknown [?] London
", Mrs. [?], unknown, Widow
", Mrs. unknown, New York
Mother's sister, E unknown, New Leeds Rd. Strachen, 60, widow - small fares
", J, Rd. Balmoral, 50, small shop [?] wife