Case 9402

Application for the Admission of a child

1. Give the child's christian name and surname

H

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

9 yrs. on July 13th 1902 at Campden Grove North Peckham (Born 1893)

3. Legitimate?

yes

4. If baptized, state place and date of baptism

St. George's Camberwell, Nov. 5th 1902

5. Parents living?

Mother

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

Tumour of the brain, May 25, 1902

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

New Church Road Camberwell - for 2 yrs. at New Church for 2 yrs. previously

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

A 37 yrs and E (deceased)

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.

Cab driver, Constantly ill - Reeves Manor Pl. Walworth

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.

no occupation - done a little scrubbing for the Infirmary Havill Street - since her husband's death

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

5/- per week 6/- food per week since the husband's death

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

NAME, ADDRESS, AGE, OCCUPATION, WEEKLY EARNINGS

M, Oakhome, 17
G, New Church Rd., 16, Grocers boy, 10/- gives his mother 7/-
A, New Church Rd., 11
A, New Church Rd., 6
E, New Church Rd., 4
A, New Church Rd., 1

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

New Church Road

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

Brother, Mr. [?], Alban's Place Upper St. Islington, Porter at Linen Draper a delicate man with 2 children, £1-0.0
Sister Mrs. [?], Manniford House Barnsbury Sq. Barnsbury, Helps in home where her boy is an inmate